HomeMy WebLinkAboutR 2014-135 AMS - Penta Engineering Group Inc. for survey for asbestos containing materials at Whitted Bldg. ORANGE COUNT'-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: Penta Engineering Group,Inc. Party/Vendor Contact Person: Rick Welsch Contact Phone: 678-282-1999
Party/Vendor Address:267 Timber Drive City Garner State:NC Zip:27529 Department:Asset Management Services Amount:
1950.00 Purpose: Survey for Asbestos-containing materials at the R.E.Whitted Building "A"-300 W.Tryon Street,Hillsborough,NC
27278 Budget Code(s):61370035-87J000-10028 Vendor#61470 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No®
Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date February 3,2013 Approved by Board Yes❑No❑
Agenda Date: Title of Contract:Whiffed-Asbestos
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:
IT D ect r
(Applicable only to hardware/software purchases or related services) is contract has been reviewed and approved by the Information
Technology Director as to technical content and information techn 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 E]. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager: D � g N 0 T
Risk Manager's Signature: , w.r Date: U
FEB - 4 2013
yFinancial Services Rer_: -
This Contract is conditioned Won appropriation by the Board of Commissioners Yes❑Noy A b t amendment is necessa
before approval Yes[]NoIf budget amendment is necessary,please attach to this form. This instrume
manner required by the Local Government Budget�and�Fiscal Control ct: �f-
Financial Services Director's Signature: (Y�-L✓ r'd'� Date:
z17
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 been reviewe and pprov he Attorney as to legal form and sufficiency:
Attorney's Signature '"� Dater
County Manager
This contract has been reviewed an is appro by the C unty Manager Yes No❑.
This contract has been reviewe d i r i ture b e C Y ❑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