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: Harris Bros.Electric&Controls.INc. Party/Vendor Contact Person: Chris Harris Contact Phone: 919-220-8500 <br /> Party/Vendor Address:2712 Hillsborougb Road City Durham State:NC Zip:27705 Department:Asset Management Services <br /> Amount:$2,862.00 Purpose:Install HVAC split system in Communications closet at Southern Human Service Cetner in Chanel Hill NC <br /> Budget Code(s): 103150020-571000 Vendor#55477 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract <br /> Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No® Agenda Date: <br /> Title of Contract: <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: lii ` Date: 3• t <br /> ector <br /> (Applicable only to hardware/software purchases or related serv' This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information to olo specifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Re uired ❑. Hold <br /> Contract pending receipt of Certificate of Insurance❑. With incorporation of Insurance provisions as sho ed <br /> by the Risk Manager: (� (� ( 0 T- T <br /> Risk Manager's Signature: K Date: U MAR 1 41� 1 <br /> Btt4 2014 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[/ A bu <br /> before approval Yes❑No[�If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in t e <br /> manner required by the Local Government Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: 0.4.,. / <br /> / , J,--- Date: ?11 y 1 y <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 or 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 revie ed an by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> 3- � 7`1 <br /> County Manager <br /> This contract has been reviewed and is a proved by the County Manager Yesr No❑. <br /> This contract has been reviewed is r si ture.4Y th air s❑No❑. <br /> i/ <br /> Manager's Signature: Da �D <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 />