HomeMy WebLinkAboutR 2014-485 ES - Console Cleaning Specialists for console cleaning in emergency communications A014 -q85
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: Console Cleaning Specialists Party/Vendor Contact Person: Debbie Buss Contact Phone: 360-748-0051
Party/Vendor Address:P.O.Box 1226 City Chehalis State: WA Zip: 98532 Department: Orange County Emergency Services Amount:
$3,150.00 Purpose: Console cleaning in emergency communications Budget Code(s): 35755120571000 Vendor#62529 (N/A if new
vendor) Vendor is a BOCC consultant? Yes❑jDate: Check one)New® Renewal❑ Amendment ❑ Effective
Date Approved by Board Yes®No❑ Title of Contract: Console Cleaning Specialist
If this is a Grant Agreement,pre-application s b ard of Commissioners Yes❑No❑. If submitted for bid were
bids/RFPs received Yes❑No❑ Bid/RF numb s been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date:
IT Director
(Applicable only to hardware/software p chases or related services)This contract has been reviewed and approved by the Information
Technology Director as to technical co nt and information technology specifications:
IT Director's Signature: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Ins
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as sho t Q it s p
by the Risk Manager: ry
� S E P 9 2014
A Risk Manager's Signature: '^ ""�'l"� Date: q 10
Financial Services By
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary
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 Bud et nd Fiscal Control Act: r
Financial Services Director's Signature: r'1.t`�L✓ a Date: C�
�l
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 anager (Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has been ev' wed and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: C1 J A--
County Manager
This contract has been reviewed and is approved by the County Manager Yes �oa
This contract has been reviewed and is for ' nature by the Chair Yes❑No❑. /
Manager's Signature: Date:
Clerk to the Board
Approved by BOCC on the_day of 20 w—. Submitted for Chair signature on t y of 20
Clerk's Signature: Date: /y
Revised March 2012