HomeMy WebLinkAboutR 2013-400 Solid Waste - American Industrial Contractors Inc to Inspect and maintain HVAC System $2,460 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: American Industrical Contractors,Inc. Party/Vendor Contact Person: Tommy Oliver Contact Phone: 336-855-
3301 Party/Vendor Address: PO Box 16224 City Greensboro State:NC Zip:27416 Department: Solid Waste Amount: $2,460
Purpose: Inspect and maintain HVAC system Budget Code(s): 50350020-570000 Vendor#59312 (N/A if new vendor) Vendor is a
BOCC consultant? Yes❑No® Contract Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date 9/30/2013
Approved by Board Yes❑No® Agenda Date: Title of Contract:Preventive Maintenance Agreement
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: �_/kj Date:
IT Director
(Applicable only to hardware/software purchases Zated services)This contract has been reviewed and approved by the Information
Technology Director as to technical content and information technology specifications:
IT Director's Signature: G�, Date:
R' k Mana ement E'k0 0
Include the following coverages: [ CGL; ED-Auto; V ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insur�an%e provis s as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date: L3
4113
Financial Services
This Contract is conditioned pon 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 BR41,1,and Fiscal Coontrol t: /Financial Services Director's Si nature: /" � Date: / 12
g
County Attorney
Approval by Board ❑ (Contracts $90,000.00 more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Manager, ost other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has been r iewed ap"oved by the Attorney as to legal form and sufficiency:
Attorney's Signature ;� -°`� Date:
County Manaaer
This contract has been reviewed and is approved the County nager Yes to❑.
This contract has been reviewed is for g tur b e C e 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