HomeMy WebLinkAboutR 2014-148 AMS - Aquatic Resource Group for Sportsplex pool UV system 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: Aquatic Resource Group Party/Vendor Contact Person: Mark Koury Contact Phone: 704-400-1273,
mikoury a,aquaticresourcegroup.com Party/Vendor Address: 8334 Pineville Matthews Road, Suite 103-156 City Charlotte State:NC
Zip: 28226 Department: AMS Amount: not to exceed$91,200 Purpose: Sportsplex Pool UV system Budget Code(s): 53530030-
800000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New
Renewal ❑ Amendment ❑ Effective Date 2/10/14 Approved by Board Yes❑No® Agenda Date:N/A Title of Contract:
S'Plex UV
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 1678This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: 0.4--_2 Date: 7 , 7( , /4
IT Director
(Applicable only to hardware/software purchases or related services) his contract has been reviewed and approved by the Information
Technology Director as to technical content and information tech no gy 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 t ¢opt �s
by the Risk Manager: ((��rr
FEB 2 1 2013
Risk Manager's Signature: � Date: a—C
Financial Services gy
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[ A bu
before approval Yes❑No�lf 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: � �iti w �• �/ Date: e6)I
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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 inner contracts$1,000 and above). Department Director approval only ❑ (Under
$1,000). This contract has been rev' wed and app"roved y the Attorney as to legal form and sufficiency:
Attorney's Signature
County Manager
This contract has been reviewed and is appro by the County Manager Yes Io❑.
This contract has been reviewed is r s'gn ture th 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