HomeMy WebLinkAboutR 2014-227 AMS - Carrier Commercial Services for Whitted chiller replacement P4 - ?-Z77
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 Commercial Service Party/Vendor Contact Person: Ken Blanton Contact Phone:919-605-8660
Party/Vendor Address: 1711-A Corporation Parkway City Raleigh State:NC Zip:27604 Department:Asset Management Services
Amount: $178,784.00 Purpose: R.E. Whitted Chiller Replacement Budget Code(s):61370035-87000-10028 and 61370035-87000-
30018 Vendor#43540 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New
Renewal❑ Amendment ❑ Effective Date 5/12/14 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: '�`7 �— Date:
IT Di ctor
(Applicable only to hardware/software purchases or related se e This contract has been reviewed and approved by the Information
Technology Director as to technical content and information tec logy 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 jWS
by the Risk Manager: D
Risk Manager's Signature: Date: S MQ`( 13 2014
Financial Services
This Contract is conditioned tpKrn appropriation by the Board of Commissioners Yes❑No A bulp
before approval Yes❑ No Y. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Budg and Fiscal Control Act:
Financial Services Director's Signature: Date: /Yt/
'5114
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 review d an p ved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and i ap v d by the County ana er Yes2'No❑.
This contract has been reviewed is fo i re e C Y 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