HomeMy WebLinkAboutR 2013-495 AMS - Baker Roofing Company Change Order #1 Pool Roof Replacement $27,621.46 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: Baker Roofing_Company Party/Vendor Contact Person: Jeff Spady Contact Phone: 919-416-4715 Party/Vendor
Address: 517 Mercury Street(PO Box 26057) City Raleigh State:NC Zip: 27611 Department: AMS Amount: $27,621.46 Purpose:
Change Order#1 Pool Rof Replacement Budget Code(s): 53530030-800000 Vendor#54603 (N/A if new vendor) Vendor is a
BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 11/15/2013
Approved by Board Yes❑No❑ Agenda Date: Title of Contract: S orts lex Pool Roof
If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes❑NoEl 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: w Date:
Director
(Applicable only to hardware,/software purchases or related servi s)This ontract has been reviewed and approved by the Information
Technology Director as to technical content and information techno gy pecifications:
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:
Risk Manager's Signature: Date:
Financial Services
This Contract is conditioned Won appropriation by the Board of Commissioners Yes❑NoE/ A budget amendment is necessary
before approval Yes❑Nolf 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:
Financial Services Director's Signature: ' �� Date: �� 1_4I 13
IZI3
County Attorney
Approval by Board ❑ (Contracts $90,000.00 or 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 and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and i pproved by the County Manager Yes[]No❑.
This contract has been review nd r s'gnat by h r 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