HomeMy WebLinkAboutR 2013-168 AMS - 5th Wall Building Diagnostic Consultants for Design Services for WCOB Roof mosture $2,400 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: 5d`Wall Building DiaQnosticc Consultants Party/Vendor Contact Person: Jeff Spady Contact Pho - -
4715 Party/Vendor Address:9601 Baileywick Road City Raleig h State:NC Zip:27615 Department:AMS Amo 2 400.0
Purpose:Design services for WCOB roof moisture intrusion due to crushed insulation around roor hatch and service lks
Budgo
Code(s): 10240320 630000 Vendor#58399 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:
(Check one)New® Renewal❑ Amendment ❑ Effective Date May 22nd,2013 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:
Department Director's Signature: �t w Date: S 1 77-113
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:
Risk Manaizement
Include the following coverages: [�(CGL; gAuto; W WC; Professional; ❑ 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: �W �• Ak4" Date:A�✓
. sly
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[� A budget amendment is necessary
before approval Yes❑No[V�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: a A � Date: L _d,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 Manager B(Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has been reviewed andq_approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
County Manazer
This contract has been reviewed and is approved by the County Manager Yes No❑.
This contract has been reviewed and is for signature by the Ch ' es❑N
Manager's Signature: Date:
Clerk to the Board
Approved by BOCC on the day of 20 . Submitted for Chair signature on the day of 120
Clerk's Signature: Date:
Revised March 2012