HomeMy WebLinkAboutR 2013-219 AMS - L A Downey for Storm Water Repairs at Whitted Building $30,327 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: L.A.Downey Party/Vendor Contact Person: Barry Perry Contact Phone:919-688-8029 Party/Vendor Address:
810 Ramseur Street,P.O.Box 1688 City Durham State:NC Zip:27702 Department: Asset Management Services Amount 0,327.00
Purpose: Storm Water Repairs at R.E. Whitted Building Budget Code(s): 10240320-570000 Vendor#61.945 (N/A if eMbNr�---__-___
Vendor is a BOCC consultant? Yes❑NoO Contract Type: (Check one)New 0 Renewal❑ Amendment ❑ Effective Date
Approved by Board Yes❑No® Agenda Date: Title of Contract: Storm Water Repairs at R.E. Whitted Building
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 Yeso No❑ Bid/RFP number 1669This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date: Ze 13
T D(iror
Oor
(Applicable only to hardware/software purchases or related se 'ces This contract has been reviewed and approved by the Information
Technology Director as to technical content and information tech ogy specifications:
IT Director's Signature: Date:
Risk Manazement
Include the following coverages: 2/CGL; [Auto; Ef WC,—ElProfessional; lidproperty; OR No Insurance Require ❑. 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: I" Date: -711 j
Financial Services
This Contract is conditioned pan appropriation by the Board of Commissioners Yes❑NoE9/ A budget amendmenOs 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:
N 1�,,
Financial Services Director's Signature: vL /� Al— Date: '71
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_IA_(Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has bien reviewed and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
iv—
County Manager
This contract has been reviewed and is approved by the County Manager YasEf Nof-1.
This contract has been reviewed and is for signature by the Chair Xes❑Nvr :.
Manager's Signature: Date: 7
Cirkto 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