HomeMy WebLinkAboutR 2014-168 SW - Dept. of Environment and Natural Resources for roll cart purchase -
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: Department of Environment and Natural Resources Party/Vendor Contact Person: Joe Fitzpatrick Contact Phone:
919-707-8121 Party/Vendor Address: 1639 Mail Service Center City Raleigh State:NC Zip:27699 Department: Solid Waste
Amount: 75.000 Purpose:Roll Cart Purchase Budget Code(s): 502535035203000800000 Vendor# (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: Grant 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: k Date: —24 Y
IT Director
(Applicable only to hardware/software purchas s 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: k A Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; [I Professional; ❑ Property; OR No Insurance Required F]. Hold
p
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as sh D ,�' a roved
by the Risk Manager: (v7 2
Risk Manager's Signature: Date: MAR 2 S 2014
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Financial Services
This Contract is conditioned pop appropriation by the Board of Commissioners Yes❑Nog.' A b ess
before approval Yes❑ No&. If budget amendment is necessary,please attach to this form. This instrument has been pre-au rte in e
manner required by the Local Government Budget and Fiscal Control Act:
Fin ancial Services Director's Signature: N't, Cv A A4"-- Date: 31-3 11Y
i
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 0"(Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has been reviewed p oved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: 7 — T"
County Manager
This contract has been reviewed and is pr d he County Manager Yes Io❑.
This contract has been reviewed a for at r by t e h ' es o❑.
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