HomeMy WebLinkAboutR 2014-292 DEAPR - Olive Hill Welding & Fabrication Inc. for construction services 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: Olive Hill Welding&Fabrication, Inc. Party/Vendor Contact Person: Wanda Dickerson Contact Phone: 336 599-
5800 Party/Vendor Address: 1940 Semora Rd., City Roxboro State:NC Zip:27574 Department: DEAPR Amount: $1,720. Purpose:
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 July 1,2014 Approved by Board Yes❑No® Agenda Date:
Title of Contract: Stair Rail Welding and Installation
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 n/aThis contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date: D
IT Director
(Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information
�Director's Teechnology Director as to technical content and information technology specifications:
Signature: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required W Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager: nnDD p T 0 � � L'J
Risk Manager's Signature: 4,, /J• Date: l �I
JUN 10 2014
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑Nov A b t amendment is necessar
before approval Yes❑ No . If budget amendment is necessary, please attach to this form. This instrum
manner required by the Local Government Budget and Fiscal Control Act:
Financial Services Director's Signature: K&jn= Az__ Date:
Countv 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;a"Most other contracts$1,000 and above). Department Director approval only ❑ (Under
$1,000). This contract has ben re ewed and,AppTuvqd by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: G._ /7-/
County Manager
This contract has been reviewed and i a o by the County Manager YesM-K-6❑.
This contract has been reviewed is f si n ure e r 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_
Jerk's Signature: Date:
Revised March 2012