2012-368 S AMS - Waren - Hay Mechanical Contractors Inc for duck change order $131.54

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�f_–q04=-?— _:S CD6 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 Constractors,Inc, Party/Vendor Contact Person: Lazi-Warren Contact Phone:919-732- IIW-PartyNendor Address:214 Millstone Drive City Hillsborough State:NC Zip:27278 Department:AMS Amount: ($131—.54)- -der one quantities,zone damper deduct change order Purpose:Change Or adiustment for stone Budget Code(s):1613 7))35-h0000-3003 5 Ve-nUJ`r_T75T5T_(R7A if new v&ndor) Vendor is a BOCC consultant? Yes F1 No M Contract Type: (Check one)New w R�enea ❑ Amen-(Ge—nt M Effective Date 9/19/2011 Approved by Board YesE No❑ Agenda Date: 9/8/2011 Title of Contract:Link Government Services Center HVAC Installation-#30035 If this is a Grant Agreement,pre-application has been approve the Board of Obmmis ,d4Ny si ners Y�esn No❑. If submitted for bid were bids/RFPs received YesE No❑ Bid/RFP number 5 c t ee e ' ed and ap rov by the Department Director as to technical content: Department Jector's Signature: Date: NI V I I IT Director (Applicable only to hardware/software purchases or related service )This contract has been reviewed and approved by the Information Technology Director as to technical content and information to logy specifications: IT Director's Signature: Date: Risk ManasEement Include the following coverages: ❑ CGL; ❑ Auto; F-1 WC; ❑ Professional; ❑ Property; OR No Insurance Required e. Hold Contract pending receipt of Certificate of Insurance El. With incorporation of Insurance provisions as shown,this contract is approved by the Risk Manager: Risk Manager's Signature: /G Date: Financial Services This Contract is conditioned on appropriation by the Board of Commissioners Yes❑NoE1""' A budget amendment is necessary before approval Yes❑No[Y-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 Contr I Act: Financial Services Director's Signature: Date: I l2 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 ManageK.2-(All other contracts). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: Attorney's Signature Date: County Manaeer This contract has been reviewed and is approved by the County Manager Yes2`14011. This contract has been reviewed and is for signature by the C_41r,Yes❑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 Clerk's Signature: Date: Revised November 2411