HomeMy WebLinkAboutR 2013-409 AMS Birs. Inc for Roof Repairs at 131 West Campus Office Building $12,770 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: Birs,Inc. Party/Vendor Contact Person: Levi Broeker Contact Phone: 336-574-3060 Party/V or dress:P.O.
Box 36197 City Greensboro State:NC Zip:27416-6197 Department: Assent Management Services Amount: $ 770. Purpose:
Roof Repairs at 131 West Magaret lane Hillsborough NC (West Campus Office Building) Budget Code(s): 1 2:0:-P<00 Vendor
4 57369 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)Ne Renewal ❑
Amendment ❑ Effective Date September 30,2013 Approved by Board Yes❑No❑ Agenda Date: 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: b� l
I ector
(Applicable only to hardware/software purchases or related se i s)This contract has been reviewed and approved by the Information
Technology Director as to technical content and information to ogy specifications:
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: C_e—r ,Jf,cok4t
Risk Manager's Signature: ""�� , Date: -76 l3
911 ,
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑Nov A budget amendment is necessary
before approval Yes❑ NoM. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Budgett�and Fiscal Control Act:
Financial Services Director's Signature: 1�•���w �� /f�"'—'Date:
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County Attorney
Approval by Board ❑ (Contracts $90,000.00 r 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 a ro ed by the Attorney as to legal form and sufficiency:
9-�-s=i3
Attorney's Signature Date:
County Manager
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 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