Orange County NC Website
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: Carolina Commercial Systems Party/Vendor Contact Person: Karl Nivison Contact Phone: 919-872-3913 <br /> Party/Vendor Address: 3420 Tarheel Drive, Suite 300 City Raleigh, State:NC Zip:27609 Department: Asset Management Services <br /> Amount: $3,912.00 Purpose: HVAC Repair at Hillsborough Commons- 113 Mayo Street Budget Code(s): 10240320-570000 Vendor# <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check one)New❑ Renewal❑ <br /> Amendment ❑ Effective Date August 2,2013 Approved by Board Yes❑No® Agenda Date: Title of Contract: <br /> Hillsborough Commons- 113 Mayo: HVAC Repairs <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: r <br /> Department Director's Signature: fi / �.^..--- Date: I� 3 <br /> IT it for <br /> (Applicable only to hardware/software purchases or related servic This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information to of y specifications: <br /> IT Director's Signature: Date: <br /> Risk Management � <br /> Include the following coverages: El CGL; El Auto; El WC; El Professional; ❑ Property; OR No Insurance Required E,/ 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: 6ylv Risk Manager's Signature: �"' Date: <br /> Esc:. 8�l3 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No5?/ A budget amendment is necessary <br /> before approval Yes❑ No . 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 g ct: �j J <br /> Financial Services Director's Signature: �G,,, /)-- Date: o 0/ 13 <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 0 ore 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 reviewe pproved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County ManaEer <br /> This contract has been reviewed and is approved by the County Manager Yes No❑. <br /> This contract has been reviewed and is for signature by the Chair_Y ❑No <br /> Manager's Signature: Date: e� <br /> Cl k e Board <br /> Approved by BOCC on the_day of 120 Submitted for Chair signature on the_day of 120 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />