HomeMy WebLinkAboutR 2013-051 AMS - Siemens Industry Inc for Technical Support Services $27720 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: Siemens InduM,INc. Party/Vendor Contact Person: Will Tattersall Contact Phone:919-469-5095 P 1'?Viendor
Address:215 Southport Drive City Morrisville State:NC Zip:27560 Department:Asset Management Services Amount- 7720 0
j�
Purpose:Technical support service s
Budget Code(s): 10240320 630000 Vendor#53325 (N/A if new vendor) Vendo i a BOCQ. -,'
consultant? Yes❑NoO Contract Type:(Check one)New[D Renewal ElAmendment ❑ Effective Date 07/01/2 12 A ed by
Board Yes❑NoO 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:
Department Director's Signature:n Date: t L t
V
IT Director
(Applicable only to hardivarelsoftivare 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:
Risk Management
Include the following coverages: EYCGL; [/Auto; 0 WC; 9Professional; ❑ Property; OR No Insurance Required ❑. Hold
Contract pending receipt of Certificate of insurance With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date-,
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑Nolp/ A budget amendment is necessary
before approval YesE]NoEff, 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: )
.1� "I,— Date: 2- -12- -3
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 ManageZ2_fmost other contracts$1,000 and above). Department Director approval only❑(Under
$1,000). This contract has been reviewed 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 Yesolq0-0.
This contract has been reviewed an signa re by t e Chair Yes❑NoET__
Manager's Signature: Date: ----Lr1 5,
Clerk to the Board
Approved by BOCC on the day of 20—. Submitted for Chair signature on the T day of__,20_.
Clerk's Signature: Date:
Revised March 2012