2012-353 S Health - ALSCO for Textile Rental Services $1,300

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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: ALSCO Party/Vendor Contact Person: Contact Phone:— Party/Vendor Address: City State:— Zip:_ Department: Health Amount:41,300 Purpose:Textile Rental Service Agreement Budget Code(s): Vendor#— (N/A if new vendor) Vendor is a BOCC consultant? Yes❑NoZ Contract Type:(Check one)New❑ Renewal ❑ Amendment ❑ Effective Date. Approved by Board Yes❑NoZ 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: Date: IT Director (Applicable only to hardwarelsoftware 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 Manazement Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OF. No Insurance Required F.' Hold Contract pending receipt of Certificate of Insurance M. With incorporation of Insurance provisions as shown,this contract is approved by the Risk Manager: 1 Risk Manager's Signature: Date:A a I Z.-I This Contract is conditioned Financial Services on appropriation by the Board of Commissioners YesE]No A budget amendment is necessary before approval Yes❑No[y. If budget amendment is necessary,please attach to this form. This iiistrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Financial Services Director's Signature: "a /� Date: 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).c=oyby Mart"r❑ (most other contracts$1,000 and above). Department Director approval only (Under $1,000). This contra b view d approved by the Attorney as to legal form and sufficiency: Attorney's Signature Date:-9- County Manage This contract has been reviewed and is approve 0y the County rmaiiager YesPIW471. This contract has been reviewed and is for sign Ch it sEjNo07 Manager's Signature: 7xrr) Date: erk to the Board — Approved by BOCC on the_day of 0 Submitted for Chair signature on the_day of_,20_. Clerk's Signature: Date: Revised March 2012