HomeMy WebLinkAboutR 2013-340 AMPS - Carolina Commerical Systems HVAC Repair at Hillssborough Commons $3,912 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: Carolina Commercial Systems Party/Vendor Contact Person: Karl Nivison Contact Phone: 919-872-3913
Party/Vendor Address: 3420 Tarheel Drive, Suite 300 City Raleigh, State:NC Zip:27609 Department: Asset Management Services
Amount: $3,912.00 Purpose: HVAC Repair at Hillsborough Commons- 113 Mayo Street Budget Code(s): 10240320-570000 Vendor#
(N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check one)New❑ Renewal❑
Amendment ❑ Effective Date August 2,2013 Approved by Board Yes❑No® Agenda Date: Title of Contract:
Hillsborough Commons- 113 Mayo: HVAC Repairs
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: r
Department Director's Signature: fi / �.^..--- Date: I� 3
IT it for
(Applicable only to hardware/software purchases or related servic This contract has been reviewed and approved by the Information
Technology Director as to technical content and information to of y specifications:
IT Director's Signature: Date:
Risk Management �
Include the following coverages: El CGL; El Auto; El WC; El Professional; ❑ Property; OR No Insurance Required E,/ Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager: 6ylv Risk Manager's Signature: �"' Date:
Esc:. 8�l3
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No5?/ 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 g ct: �j J
Financial Services Director's Signature: �G,,, /)-- Date: o 0/ 13
County Attorney
Approval by Board ❑ (Contracts $90,000.00 0 ore 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 reviewe pproved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
County ManaEer
This contract has been reviewed and is approved by the County Manager Yes No❑.
This contract has been reviewed and is for signature by the Chair_Y ❑No
Manager's Signature: Date: e�
Cl k e Board
Approved by BOCC on the_day of 120 Submitted for Chair signature on the_day of 120
Clerk's Signature: Date:
Revised March 2012