HomeMy WebLinkAboutR 2013-218 AMS - Bullock's Hrdware to Patch, Sand and Finish Floors at Magistrate's Office Renovation $3,146 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: Bullock's Hardware Party/Vendor Contact Person: Bobby Bullock Contact Phone:— Party/Vendor Address:
P.O.Box 152 City Stem State:NC Zip: 27581 Department:Asset Management Services Amount: $3,146 Purpose:Patch, Sand and
Finish Floors at Magistrate's Office Renovation Budget Code(s): 10240320-570000 Vendor#61598 (N/A if new vendor) Vendor is a
BOCC consultant? Yes❑NoE Contract Type: (Check one)New[0 Renewal❑ Amendment ❑ Effective Date July 8,2013
Approved by Board Yes❑NoE Agenda Date: Title of Contract:Hardwood Floor Maintenance at Magistrate's Office
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:
ntent'
Department Director's Signature: Date: �Szf- I3
i ector
(Applicable only to hardwarelsoftware purchases or related servic S This contract has been reviewed and approved by the Information
Technology Director as to technical content and information to olog specifications:
IT Director's Signature: Date:
Risk Manazement
Include the following coverages: 1rC71rCGL; [Auto; WC; F-1 Professional; E3"'Property; OR No Insurance Require ❑ 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: t^ Date: -11,113
Financial Services
This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑NoER/ 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 Goverment Budget and Fiscal Conpol Act:
Financial Services Director's Signature: LA 441C1 Date: '711t1_3
County Attorney
Approval by Board ❑ (Contracts $90,000.00 more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Manager 40st other contracts$1,000 and above). Department Director approval only❑(Under
$1,000). This contract has been r iewed proved 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 Yes,211NOE].
This contract has been reviewed and is for signature by the Chair YesF_jN0i!j_
0iManager's Signature: ("In Date:
Clerk to the Board
Approved by BOCC on the—day of ,r27,O . Submitted for Chair signature on the day of 20—.
Clerk's Signature: Date:
Revised March 2012