R 2014-214 AMS - Tile Restoration for floor care maintenance at various County buildings

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�2-24-Ziy 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: Tile Restoration Party/Vendor Contact Person: Brad Albritton Contact Phone:252-916-2045 Party/Vendor Address: 119 East Main Street City Hookerton State:NC Zip:28538 Department:Asset Management Services Amount:$10,240 Purpose:Floor Care Maintenance at various County Buildings Budget Code(s): 10240520-630000 Vendor#61702 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date May 12, 1014 Approved by Board Yes❑No[] Agenda Date: Title of Contract: If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑ No❑. If submitted for bid were bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to technical content: (/ Department Director's Signature: �t-�O� Date: �'S ��T Di ctor (Applicable only to hardware/software purchases or related servi s)This contract has been reviewed and approved by the Information Technology Director as to technical content and information teglQogy specifications: IT Director's Signature: Date: Risk Management Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as s Q tl cp Tcts anp d by the Risk Manager: U l�r �C �J �j (y Risk Manager's Signature: 42�- Date: S MAY — 5 2014 5�5 ° Financial Services gy This Contract is conditioneV on appropriation by the Board of Commissioners Yes❑No A u g before approval Yes[:] No 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 Control Act Ll LFinancial Services Director's Signature: Date: 515 County Attorney Approval by Board ❑ (Contracts $90,000.00 0 more for goods or services, $250,000.00 or more for construction, or any BOCC consultant contract). Approval by Manager�Most other contracts$1,000 and above). Department Director approval only❑ (Under $1,000). This contract has been reviewed and roved by the Attorney as to legal form and sufficiency: Attorney's Signature 2:, Date: County Manager This contract has been reviewed and is pro d the County Manager Yes No❑. This contract has been reviewed ' ors* by e h es o❑. G 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 March 2012