HomeMy WebLinkAbout2012-368 S AMS - Waren - Hay Mechanical Contractors Inc for duck change order $131.54 �f_–q04=-?— _:S CD6
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: Warren-Hay Mechanical Constractors,Inc, Party/Vendor Contact Person: Lazi-Warren Contact Phone:919-732-
IIW-PartyNendor Address:214 Millstone Drive City Hillsborough State:NC Zip:27278 Department:AMS Amount: ($131—.54)-
-der one quantities,zone damper deduct change order Purpose:Change Or adiustment for stone Budget Code(s):1613 7))35-h0000-3003 5
Ve-nUJ`r_T75T5T_(R7A if new v&ndor) Vendor is a BOCC consultant? Yes F1 No M Contract Type: (Check one)New w R�enea
❑ Amen-(Ge—nt M Effective Date 9/19/2011 Approved by Board YesE No❑ Agenda Date: 9/8/2011 Title of Contract:Link
Government Services Center HVAC Installation-#30035
If this is a Grant Agreement,pre-application has been approve the Board of Obmmis
,d4Ny si ners Y�esn No❑. If submitted for bid were
bids/RFPs received YesE No❑ Bid/RFP number 5 c t ee e ' ed and ap rov by the Department Director as to
technical content:
Department Jector's Signature: Date:
NI V I I IT Director
(Applicable only to hardware/software purchases or related service )This contract has been reviewed and approved by the Information
Technology Director as to technical content and information to logy specifications:
IT Director's Signature: Date:
Risk ManasEement
Include the following coverages: ❑ CGL; ❑ Auto; F-1 WC; ❑ Professional; ❑ Property; OR No Insurance Required e. Hold
Contract pending receipt of Certificate of Insurance El. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: /G Date:
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑NoE1""' A budget amendment is necessary
before approval Yes❑No[Y-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 Contr I Act:
Financial Services Director's Signature: Date: I l2
County Attorney
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 ManageK.2-(All other contracts). This contract has been reviewed and approved by the Attorney as
to legal form and sufficiency:
Attorney's Signature Date:
County Manaeer
This contract has been reviewed and is approved by the County Manager Yes2`14011.
This contract has been reviewed and is for signature by the C_41r,Yes❑No❑-
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 November 2411