2012-119 AMS - Warren Hay Mechanical for HVAC Seymour Center

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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: Warren -Hay Mechanical Party/Vendor Contact Person: Ron LaPann Contact Phone: 919- 732 -4362 Party/Vendor Address: PO Box 818 City Hillsborough State: NC Zip: 27278 Department: AMS Amount: $24,908 Purpose: Owner provided HVAC controls installation in Seymour Center, Hillsborough Commons, Gateway, and Central Orange Senior Center Budget Code(s): 1024- 0320- 570000 Vendor # 25352 (N /A if new vendor) ,Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date /8 /2 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: 64, Date: IT Director (Applicable 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: IT Director's Signature: Date: Risk Mana ement Include the following coverages: CGL; E�J`Auto; C; ❑ Professional; ❑ Property; OR No Insurance Required El. Hold Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as shown, this contract is approved by the Risk Manager: Risk Manager's Signature: 4(,w Date: Financial Services This Contract is condition@d upon appropriation by the Board of Commissioners Yes❑NX. 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 Budget and Fiscal Control Act: aalz,� Financia l Services Director's Signature: .y • "" Date: Z Z 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 Managei Qll&st other contracts $1,000 and above). Department Director approval only ❑ (Under $1,000). This contract has been reviewed proved by the Attorney as to legal form and sufficiency: / Attorney's Signature Date: County Manager This contract has been reviewed and is approved by the County Manager Yes ]No❑. This contract has been reviewed and is for signature by the air Yes ❑No� Manager's Signature: Date: uv Clerk to the Board Approved by BOCC on the day of 20 . Submitted for Chair signature on the _ day of 20 Clerk's Signature: Revised March 2012 Date: