HomeMy WebLinkAboutR 2014-139 AMS - Jeff Spady for Window Evaluation at SHSC -::?0t4 -tom
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: Jeff Spady-5t'Wall Party/Vendor Contact Person: Jeff Spady Contact Phone:919-616-4715 Party/Vendor
Address: 8=9601 Baileywick Road City Ralei h State:NC Zip:27615 Department:Asset Management Services Amount:$1,200
Purpose:Window Evaluation at Southern Human Services Center.2501 Homestead Road,Chapel Hill Budget Code(s): 10240320-
630000 Vendor#58369 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New
Renewal❑ Amendment ❑ Effective Date February 17,2014 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: 2• • 14
IT ire or
(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 tec o specifications:
IT Director's Signature: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required E]. Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown this contract is approved
by the Risk Manager: D V U
Risk Manager's Signature: wj� Date:Z It FEB 10 2013
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Financial Services
This Contract is conditioned u n appropriation by the Board of Commissioners Yes❑No . A btjWt amendment is necess
before approval Yes❑NoKr If budget amendment is necessary,please attach to this form. This instrumen as -
manner required by the Local Government Budget and Fiscal Control Act:
Financial Services Director's Signature: W �"• Date: /I Lf q
X111
County Attornev
Approval by Board ❑ (Contracts $901000.00 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 reviewed approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: _�y/�
County Manager
This contract has been reviewed and is approved by the County Manager Yes o❑.
This contract has been reviewed is f si re he C a' YesEX4o0.
v
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