HomeMy WebLinkAboutR 2014-131 AS - Consolidated Laundry for Preventative Maintenance on Washers and Dryers ao,4 - 131
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: CONSOLIDATED LAUNDRY Party/Vendor Contact Person: BEN ROYAL Contact Phone: 919-832-4624
Party/Vendor Address:PO BOX 12568 City RALEIGH State:NC Zip:27605 Department:ANIMAL SERVICES Amount: $1,250.00
Purpose:Preventative Maintenance on Washers and Dryers Budget Code(s): 10215220 571000 Vendor#51734 (N/A if new vendor)
Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date
1/1/2014 Approved by Board Yes[:]No® Agenda Date:NA Title of Contract:PREVENTATIVE MAINTENANCE
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: /Ac
IT Director
(Applicable only to hardware/software purchases or related 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: 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 sho ,
by the Risk Manager: D
Risk Manager's Signature: / -- Date: a AN 3 12013
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Financial Services y
This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No[�. A bud
before approval Yes❑No[M 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: Date: 2 SI iy
a13
County Attorney
Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by ManagerZ—(All other contracts). 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 a roved by the County Manager Yes / No❑.
This contract has been reviewed is a mitte for BO co s deration 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 April 2010