HomeMy WebLinkAboutR 2013-216 AMS - Environmental Holding Group for Abatement of TSI from the Jail 1st floor $3,000 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: EHG(Environmental Holding Group Party/Vendor Contact Person: Brian Sanders Contact Phone: 919-544-6790
Party/Vend s: 190 Kitty Hawk Drive City Morrisville State:NC Zip:27560 Department:Asset Management Services
Amoun 3 000 e:The abatement of TSI from the Jail- I"floor: as outlined in the attached proposal#13-65-5501 dated 5/23/13
Budg 0240320-570000 Vendor#57474 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract
Type: (Check one)New ® Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No® Agenda Date:
Title of Contract:Abatement of TSI from the Jail
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: '–' Date: �0 Z? 13
IT it for
(Applicable only to hardware/software purchases or related se This contract has been reviewed and approved by the Information
Technology Director as to technical content and information t olo y specifications:
IT Director's Signature: Date:
]Risk Management
Include the following coverages: [fCGL; V Auto; WWC, ❑ Professional; [Property; OR No Insurance Required F. 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: '711 113
CSC.. is
Zia
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No� A budget amendment is necessary
before approval Yes[:] No[TIf 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: V L �r w IV— Date: � 1 �3
County Attorney
Approval by Board ❑ (Contracts $90,000.0qldf more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Manager 7(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:
County Manager
This contract has been reviewed and is approved by the County Manager YesnNo❑.
This contract has been reviewed and is for signature by the Cha' Yes❑NoE]!
Manager's Signature: Date: 7
Cl/to the Board
Approved by BOCC on the_day of 120 Submitted for Chair signature on the_day of 20
Clerk's Signature: Date:
Revised March 2012