HomeMy WebLinkAboutR 2014-115 AMS - Hillsborough Plumbing for R. E. Whitted Building 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: Hillsborough Plumbing Party/Vendor Contact Person: Rob McKee Contact Phone: 919-732-4506 Party/Vendor
Address: 1020 Highway 57 North, City Hillsborough State:NC Zip:27278 Department:Asset Management Services Amount:
$9,805.00 Purpose:R E Whitted Building/300 W Trvon Road Hillsborough.NC: Break Sink and Casework Installed Budget Code(s):
61-370035-892000-30012 Vendor#58196 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:
(Check one)New® Renewal❑ Amendment ❑ Effective Date Janaury 10,2014 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: o .
IT Director
(Applicable only to hardware/software purchases or related serv.ces)This contract has been reviewed and approved by the Information
Technology Director as to technical content and information a ology specifications:
IT Director's Signature: r Date:
Risk Management
Include the following coverages: ® CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required El. Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager: n
Risk Manager's Signature: Date: 1.14 511Z 5t
Ii1�l�
Financial Services
This Contract is condi oned upon appropriation by the Board of Commissioners Yes&E]. 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 Bud g t and Fiscal Con of Ac
Financial Services Director's Signature: Date: l
1( 1alig.
County Attorney
Approval by Board ❑ (Contracts $90,000.00 o 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 ee review and a proved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: 1
County Manager
This contract has been reviewed and is rov by the County Manager Yes No❑.
This contract has been reviewe r si ture e it s❑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