HomeMy WebLinkAboutR 2010-171 AMS - Owens Roofing DA and Annex 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 : Owens Roofing Party/Vendor Contact Person : Contact Phone : 919 - 821 - 0082 Party/Vendor Address : 301
W Cabarrus St City Raleigh State : NC Zip : 27601 Department : Asset Mgmt Amount : $ 90 , 591 Purpose : Roof Repair-DA' s and GSA
Buildings Budget Code (s) : 61370035482000 -30002 Vendor # 40199 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑
No ❑ Contract Type : (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 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 367 - 1601 . This contract has been reviewed and approved by the Department Director
as to technical content :
Department Director ' s Signature : G✓1'I/l f l� Date : / • ?—r-1 • / D
IT it for
(Applicable only to hardware/software purchases or related services his contract has been reviewed and approved by the Information
Technology Director as to technical content and information techno o 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 shown, this contract is approved
by the Risk Manager .
Risk Manager ' s Signature : Ct/j'til Date : • • l0
Financial Services
This Contract is conditioned pon 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 and Fiscal Control Act :
1
Financial Services Director ' s Signature : 1^ .� �• - Date : f o
County Attorney
Approval by Board ❑ (Contracts ov $ 90 , 000 . 00 for goods or services , $250 , 000 . 00 for construction, or any BOCC consultant
contract) . Approval by Manager (All other contracts) . This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency .
Date Signature
Attorney g' s Si • / " ��/ �J
.
County Manager
This contract has been reviewed and is approved by the County Vanager Ye No ❑ .
This contract has been reviewed and is to be s mitted or B consideration Yes ❑No2'
xx
Manager ' s Signature : Date : U
C erk a Board
Approved by BOCC on the day of , 20 S mitted for Chair signature on the day of , 20
Clerk' s Signature : Date :
Revised April 2010