HomeMy WebLinkAboutR 2014-100 AMS - Stewart-Cooper-Newell Architects Inc for Emergency Services Station Prototype Design 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: Stewart-Cooper-Newell Architects,Inc. Party/Vendor Contact Person: Ken Newell Contact Phone:704-865-6311
Party/Vendor Address:719 East Second Avenue City Gastonia State:NC Zip:28054 Department:AMS Amount:$32,800.00 ���
Purpose:Emergency Services Station Prototype Design Budget Code(s):61370035-870000-10053 Vendor#N/A (N/A if new vendor)
Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date 1/6/14
Approved by Board Yes❑No❑ Agenda Date:N/A Title of Contract:EMS Prototype
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 5194This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: --- Date:—,,'. 2
IT Director
(Applicable only to hardware/software purchases or related s ices)This contract has been reviewed and approved by the Information
Technology Director as to technical content and inform chnology specifications:
IT Director's Signature: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance R wired ❑. Hold
Contract pending receipt of Certificate of Insurance El. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date: 44)
Financial Services
This Contract is condi ' ned upon appropriation by the Board of Commissioners Yes No❑. A budget amendment is necessary
before approval YesMNo❑. 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:
Financial Services Director's Signature: A"4.1. Ac_ Date: j
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 b en eviewed pproved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: /—/6
County Manager
This contract has been reviewed and is ap rove y the County Manager Yes To❑.
This contract has been reviewed a s f si r by the air s❑No❑.
4-W
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