HomeMy WebLinkAboutR 2013-318 DEAPR - Royalwood Associates Inc for Gymnasium Resurfacing $12,504 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: Royalwood Associates, Inc Party/Vendor Contact Person: Greg SerRas Contact Phone: 919-707-997
Party/Vendor Address: 7421 ACC Blvd. City Raleigh State:NC Zip: 27617 Department:DEAPR-Recreation Amoun . 12 5
Purpose: Gymnasium Resurfacing Budget Code(s): Vendor#N/A (N/A if new vendor) Vendor is a BOCC consu t es
®No❑ Contract Type:(Check one)New® Renewal ❑ Amendment ❑ Effective Date 8/1/13 Approved by Board Yes❑No®
Agenda Date:NA Title of Contract:
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: q )
r � /3
IT Director
(Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information
yTechn logy Director as to technical content and information technology specifications:
I irector's Signature: Date:
Risk Mana ement
Include the following coverages: Q/CGL; 9 Auto; ® WC; El 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: ` �� r� h� Date:
Financial Services
This Contract is conditioned Won appropriation by the Board of Commissioners Yes❑No[ 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 Government Budget and Fiscal Control Act: 1
Financial Services Director's Signature: ` ��"'�'' Date: ff f/13
_
County Attorney
Approval by Board ❑ (Contracts $90,000.00 0 more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract), Approval by Manager (Most other contracts$�n� epartment Director approv I my ❑(Under
$1,000). This contract has been reviewed and approved by the Att o �andl su ff iciency: f1j
Attorney's Signature Date: – 13
County Manager
This contract has been reviewed and is approved by the County Manager NoEL
This contract has been reviewed and is for nature by t e hair Yes❑No[
Manager's Signature: Date:
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