HomeMy WebLinkAbout2012-356 S AMS - 5th Wall Building Diagnostic Consultant - Sportsplex Roof Replacement $10,400 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
Party/Vendor Name: 5th Wall Building Diagnostic Consultants Party/Vendor Contact Person: Jeff Spady Contact Phone:919-616-4715
Party/Vendor Address:9601 BaileMick Road City Raleigh State:NC Zip:27615 Department:AMS Amount:$10,400 Purpose:
Sportsplex Roof Replacement Budget Code(s):53530030 803000 Vendor#58369 (N/A if new vendor) Vendor is a BOCC
consultant? Yes❑NoN Contract Type:(Check one)New 0 Renewal❑ Amendment ❑ Effective Date 8/17/12 Approved by
Board Yes❑NoE Agenda Date: Title of Contract: Sportsplex Pool Roof Renovation Design
If this is a Grant Agreement,pre-application has been approv b the Board f minissioners Yes❑NoZ. If submitted for bid were
bids/RFPs received Yes❑NoZ Bid/RFP number T * c tr h een viewed and approv9d by/he Department Director as to
technical content: e1rX11 ie,--
Department Director's Snature: Date:
IT Director
(Applicable only to hardware/software purchases or related services)Th* contract has been reviewed and approved by the Information
Technology Director as to technical content and information tec specifications:
IT Director's Signature: Date:
,;I*s
ilk M�aemesnt
m
WC
Include the following coverages: dcGL; 9 Auto; WC; Professional; M Property; OR No Insurance Require M. Hold
Professional;
Contract pending receipt of Certificate f Insurance M. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: el Date:
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners YesMNom./ A budget amendment is necessary
before approval Yes❑No 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 Act-
Financial Services Director's Signature: Z4_� /p, Date:
County Attorney
Approval by Board El (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 P(Most other contracts$1,000 and above). Department Director approval only r_1(Under
$1,000). This contract has bee"eviewed dd approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is approved by the County Manager YesEnNoEl.
This contract has been reviewed and is for signature by t e Chair YesE1NoL2`
Manager's Signature: _ - Date:
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