HomeMy WebLinkAboutR 2014-204 AMS - Carrier Corp - West Campus Bldg., replace two defective condenser coils 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: Carrier Corporation Party/Vendor Contact Person: Kenneth Blanton Contact Phone:919-605-8660 Party/Vendor
Address: 1711-A Corporation Parkway City Raleigh State:NC Zip: 27604 Department: Asset Management Services Amount:
$15,997.00 Purpose: West Campus Office Building:_Replace two defective condenser coils Budget Code(s): 10240320-570000 Vendor
#43540 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New ® Renewal ❑
Amendment ❑ Effective Date MU 9,2014 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: 2-411
IT Director
(Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information
Technology Director as to technical content and information techno 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 1' contra . i g roved
by the Risk Manager: �' O
Risk Manager's Signature: K0 Date: A o 2 14
Les Financial Services
This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑ .No N Abu an}e.x►du�ent �� ne_c___PS�ary
before approval Yes❑No[V]. If budget amendment is necessary,please attach to this form. This instrument has been pre-audite m t e
manner required by the Local Government Budget and Fiscal Control Act:
/Financial Services Director's Signature: 61",w A W— Date: 4 Z�
�-1 zg
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 Z'(Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency:
-- � _ ,
Attorney's Signature Date:J �7
County Manager
This contract has been reviewed and is app e y the Coun anager Yes[2'No❑.
This contract has been reviewed fo i e 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 120
Clerk's Signature: Date:
Revised March 2012