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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: American Industrical Contractors,Inc. Party/Vendor Contact Person: Tommy Oliver Contact Phone: 336-855- <br /> 3301 Party/Vendor Address: PO Box 16224 City Greensboro State:NC Zip:27416 Department: Solid Waste Amount: $2,460 <br /> Purpose: Inspect and maintain HVAC system Budget Code(s): 50350020-570000 Vendor#59312 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes❑No® Contract Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date 9/30/2013 <br /> Approved by Board Yes❑No® Agenda Date: Title of Contract:Preventive Maintenance Agreement <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: <br /> Department Director's Signature: �_/kj Date: <br /> IT Director <br /> (Applicable only to hardware/software purchases Zated services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technology specifications: <br /> IT Director's Signature: G�, Date: <br /> R' k Mana ement E'k0 0 <br /> Include the following coverages: [ CGL; ED-Auto; V ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insur�an%e provis s as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: L3 <br /> 4113 <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❑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 BR41,1,and Fiscal Coontrol t: /Financial Services Director's Si nature: /" � Date: / 12 <br /> g <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, ost other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been r iewed ap"oved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature ;� -°`� Date: <br /> County Manaaer <br /> This contract has been reviewed and is approved the County nager Yes to❑. <br /> This contract has been reviewed is for g tur b e C e No❑. <br /> Manager's Signature: Date: <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 />