HomeMy WebLinkAboutR 2014-252 DEAPR - JB Tree Service for FEMA storm debris removal 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: JB Tree Service Party/Vendor Contact Person: Jeff Brackett Contact Phone:(919)644-2454 Party/Vendor
Address:7410 NC Hwy86North City Hillsborough State:NC Zip:27278 Department: DEAPR Amount: 5100 Purpose:FEMA
Storm Debris Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No[] Contract
Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date Max 22,2014 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:
a:es��p — Date: 5 22 14-
IT Director
(A plicable 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 technology specifications:
\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 M. With incorporation of Insurance provisions as shov 7MA by the Risk Manager:Risk Manager's Signature: i - Date: 2 Q11 4
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑NoE A bud
before approval Yes❑NoM.If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Bud gel and Fiscal Control Act: I �y
Financial Services Director's Signature: A Date: 1 � I
County Attorney
Approval by Board ❑ (Contracts $90,000.00 r 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 reviewed an
!7 oved by the Attorney as to legal form and sufficiency: !/
Attorney's Signature "'---- Date:
�� /L,��7
County Manager
This contract has been reviewed and is approved y the County Manager Yes No❑.
This contract has been reviewed s for 'gn e by t Chair es❑No❑.
v
Manager's Signature: Date:
Clerk to the Board
roved by BOCC on the_day of 120 Submitted for Chair signature on the_day of ,20
Cle k's Signature: Date:
Revised March 2012