Orange County NC Website
X013 - Zl`� <br /> ORANGE COUNTY-CONTRACT CONTROL SHEET <br /> Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services, (5)Attorney, (6)Manager,(7)Clerk <br /> This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager <br /> determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for <br /> BOCC approval must be submitted through, and complete,the routing process prior to agenda review. Contracts for legal review should <br /> be completed through the legal review process prior to being routed for signature. <br /> Department <br /> Party/Vendor Name: National Power Party/Vendor Contact Person: David Fitzsimons Contact Phone: 919-790-1 Party/Ven or <br /> Address:P.O.Box 58729 City Raleigh State:NC Zip:27658 Department: Asset Management Services Amou : $5,013.35 P e: <br /> Repair of Generator at 131 W.Margaret Lane(Wet Campus Office Building) Budget Code(s): 10240320-57000 Va 3 (N/A <br /> if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal Amendment ❑ <br /> Effective Date June 24,2013 Approved by Board Yes❑No® Agenda Date: Title of Contract: West Campus Office <br /> Building Generator Rem <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: zz <br /> Department Director's Signature: v Date: <br /> IT D' ctor <br /> (Applicable only to hardware/software purchases or relate se 'ces)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information' chnology specifications: <br /> IT Director's Signature: Date: <br /> / Risk Management <br /> Include the following coverages: L^� CGL; 0 Auto; WC; ❑ Professional; [✓]Property; OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: /� <br /> Risk Manager's Signature: d44v–L" �, Date: '71) 3 <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No[� A budget amendment is necessary <br /> before approval Yes❑Noz If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the <br /> manner required by the Local Government Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: 6-(,a" -, V J. AV--, Date: ­/Nu <br /> u <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager (Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: 7 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yeso—No❑. <br /> This contract has been reviewed and is for si re by the air Yes❑NoEl <br /> Manager's Signature: Date: ��y <br /> Clerk to the Board <br /> Approved by BOCC on the_day of 20 . Submitted for Chair signature on the_day of 20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />