HomeMy WebLinkAboutR 2013-247 AMS - Jeff Spady (5th Wall) West Campus Office Building - Moisture Mitigation $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: Jeff Spady(5`h Wald Party/Vendor Contact Person: Jeff Spadx Contact Phone:(919)616-4715 Pa dor
Address: 9601 Baileywicic a eiE Mate: ip:27615 Department:Asset Management Services Amoun . $ 0
Purpose: esf Z ampus Office Buildine-Moisture Miti a ' udget Code(s): 10240320-630000 Vendor#58369 (N/A if n vendor)
Vendor is a - Yes Z Cofact Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date July
19, 2013 Approved by Board Yes❑No® Agenda Date: Title of Contract:Moisture Mitigation
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:
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Department Director's Signature: � Date:
XI * tor
(Applicable only to hardware/software purchases or related sehis contract has been reviewed and approved by the Information
Technology Director as to technical content and information tespecifications:
IT Director's Signature: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ 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: SAC. A*�,..,(�
Risk Manager's Signature: �yry'�t/L•� �• Date: `
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑Nov A budget amendment is necessary
before approval Yes❑NoIf 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 t,
Financial Services Director's Signature: NnlyW Date: 7 7
� l3
County Attorney
Approval by Board ❑ (Contracts $90,000.00 jor 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 bee revi ed and a 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 pager Yo❑.
This contract has been reviewed and is for s' na e b aaYesON
Manager's Signature: Date:
�I2
Cle�: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