HomeMy WebLinkAboutR 2014-158 AMS - Harris Bros Electric & Controls for HVAC split system at SHSC 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: Harris Bros.Electric&Controls.INc. Party/Vendor Contact Person: Chris Harris Contact Phone: 919-220-8500
Party/Vendor Address:2712 Hillsborougb Road City Durham State:NC Zip:27705 Department:Asset Management Services
Amount:$2,862.00 Purpose:Install HVAC split system in Communications closet at Southern Human Service Cetner in Chanel Hill NC
Budget Code(s): 103150020-571000 Vendor#55477 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract
Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date 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: lii ` Date: 3• t
ector
(Applicable only to hardware/software purchases or related serv' This contract has been reviewed and approved by the Information
Technology Director as to technical content and information to olo specifications:
IT Director's Signature: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Re uired ❑. Hold
Contract pending receipt of Certificate of Insurance❑. With incorporation of Insurance provisions as sho ed
by the Risk Manager: (� (� ( 0 T- T
Risk Manager's Signature: K Date: U MAR 1 41� 1
Btt4 2014
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[/ A bu
before approval Yes❑No[�If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in t e
manner required by the Local Government Budget and Fiscal Control Act:
Financial Services Director's Signature: 0.4.,. /
/ , J,--- Date: ?11 y 1 y
County Attorney
Approval by Board ❑ (Contracts $90,000.00 or 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 revie ed an by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
3- � 7`1
County Manager
This contract has been reviewed and is a proved by the County Manager Yesr No❑.
This contract has been reviewed is r si ture.4Y th air s❑No❑.
i/
Manager's Signature: Da �D
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