HomeMy WebLinkAbout2012-194 NVS EMS - Eaton Corporation Check if UPS struck buy Lighting is repairable $ not listed i
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ORANGE COUNTY—CONTRACT CONTROL SHEET
Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk
This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager
determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for
BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should
be completed through the legal review process prior to being routed for signature.
Department
PartyNendor Name: Eaton Corporation PartyNendor Contact Person: Hillary Cooper Contact Phone: 800-843-9433 opt 1,opt 1 1
PartyNendor Address:PO Box 93531 City Chicago State: IL Zip:60673-3531 Department: Emergency Services Amount:Time&
Material Purpose: Check if UPS struck by Lightning is repairable Budget Code(s): 10240120649150 Vendor#55267 (N/A if new
vendor) Vendor is a BOCC consultant? Yes❑No Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective
Date Approved by Board Yes❑No Agenda Date: Title of Contract:
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑ No❑. If submitted for bid were
bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content: at
Department Director's Signature: ALA. l `t Date: Ott t2414C-
IT Director
(Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information
Technology Director as to technical content and information technology specifications:
IT Director's Signature: Date:
isk Management
Include the following coverages: (CGL; 0 Auto; WC; ❑ Professional; ❑ Property; OR No Insurance Required O. Hold
Contract pending receipt of Certificate of Insurance . With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager: r Risk Manager's Signature: IP TIN// l/
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑NoTr A budget amendment is necessary
before approval Yes❑No1E. If budget amendment is necessary, please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Budget and Fiscal Control Ac j: /
Financial Services Director's Signature: CJW"'�"�" A ,�/ Date: 1/4 L'
County Attorney t
Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Manager al(Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has been r' ; ed . 6a roved by the Attorney as to legal form and suffici ncy:
Attorney's Signature I Date: (lc3
County Manager
This contract has been reviewed and is approved by the County Manager YogicrO❑.
This contract has been reviewed and is for signature by the Chair Yes❑No❑Y 32 -2--Manager's Signature: 0 / / #/'.- Date: 7- 34-C
Clerk to the Board
Approved by BOCC on the day of ,20 . Submitted for Chair signature on the—day of ,20 •
Clerk's Signature: Date:
Revised March 2012