HomeMy WebLinkAboutR 2014-200 AMS - Mark Hall Electric Inc. for West Campus Bldg for electrical work 02011 E - Ztjb
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: Mark Hall Electric,Inc. Party/Vendor Contact Person: Mark Hall Contact Phone: 336-570-0158 Party/Vendor
Address: P.O.Box 218 City Alamance State:NC Zip:27201 Department: Asset Management Services Amount: $3,560. Purpose:
West Cqpus Office Buiding• Core Drill thru 3 floors to run 2 1/2"conduit from the 3rd floor basement Budget Code(s): 10240320-
570000 Vendor#62430 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New
Renewal❑ Amendment ❑ Effective Date April 21,2014 Approved by Board Yes❑NoZ 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: �r Date:
Khnogy tor
(Applicable only to hardware/software purchases or related se his contract has been reviewed and approved by the Information
Technology Director as to technical content and information to specificatio ns:
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 show ,D Mc� #� Apr
by the Risk Manager: ; u u
Risk Manager's Signature: (� iJ -cam —� Date: Z APR 2 4 2914
Financial Services By
This Contract is conditione on appropriation by the Board of Commissioners Yes❑ .No A bud
before approval Yes❑No If 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: A Financial Services Director's Signature: F L ,1_ �' v�J, It'd Date:
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-En-Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has been reviewed pproved by the Attorney as to legal form and sufficiency:
Attorney's Signature - Date: S,` /sr
County Manager
This contract has been reviewed and is app o e the County M er Yes[ ' Io❑.
This contract has been reviewed fo gn e C it ❑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