HomeMy WebLinkAboutR 2014-256 AMS - King Brothers Electric Co., Inc. - rework brick sidewalk at West Campus bldg. 4 - Z5 1,
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: King Brothers Party/Vendor Contact Person: Blake King Contact Phone:919-682-3489 Party/Vendor Address:
1701 Camden Avenue City Durham State:NC Zip:27704 Department:Asset Management Services Amount: $775.00 Purpose: West
Campus Office Building- 131 W. Margaret Lane,Hillsborough NC 27278: Re-work two locations on brick sidewalk in order to keep
water from pudding Budget Code(s): 10240020-570000 Vendor#56938 (N/A if new vendor) Vendor is a BOCC consultant? Yes
❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date May 26,2014 Approved by Board Yes
❑Non 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: C Date:
I ector
(Applicable only to hardware/software purchases or related se c This contract has been reviewed and approved by the Information
Technology Director as to technical content and information ethnology 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 ass
by the Risk Manager: D
Risk Manager's Signature: G�f- G °S Dater 1 MAY `L-7 2014
Financial Services
This Contract is conditioned Won appropriation by the Board of Commissioners Yes❑Now A b
before approval Yes❑ Noy. 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:
Vl.
Financial Services Director's Signature: a,y,ti,w A-K— 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❑ (Most other contracts$1,000 and above). Department Director approval onl (Under
$1,000). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is apIXoved by the County Manager Yesp'No❑.
This contract has been reviewed a s lo si re by t Cha' Ye Non.
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