HomeMy WebLinkAboutR 2013-217 AMS - National Power for Repair of Generator at West Campus Office Building $5,013.35 X013 - Zl`�
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: National Power Party/Vendor Contact Person: David Fitzsimons Contact Phone: 919-790-1 Party/Ven or
Address:P.O.Box 58729 City Raleigh State:NC Zip:27658 Department: Asset Management Services Amou : $5,013.35 P e:
Repair of Generator at 131 W.Margaret Lane(Wet Campus Office Building) Budget Code(s): 10240320-57000 Va 3 (N/A
if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal Amendment ❑
Effective Date June 24,2013 Approved by Board Yes❑No® Agenda Date: Title of Contract: West Campus Office
Building Generator Rem
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: zz
Department Director's Signature: v Date:
IT D' ctor
(Applicable only to hardware/software purchases or relate se 'ces)This contract has been reviewed and approved by the Information
Technology Director as to technical content and information' chnology specifications:
IT Director's Signature: Date:
/ Risk Management
Include the following coverages: L^� CGL; 0 Auto; 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: d44v–L" �, Date: '71) 3
Financial Services
This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No[� A budget amendment is necessary
before approval Yes❑Noz 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: 6-(,a" -, V J. AV--, Date: /Nu
u
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 (Most other contracts$1,000 and above). Department Director approval only ❑ (Under
$1,000). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: 7
County Manager
This contract has been reviewed and is approved by the County Manager Yeso—No❑.
This contract has been reviewed and is for si re by the air Yes❑NoEl
Manager's Signature: Date: ��y
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 March 2012