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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: Gonzalez Painters&Contractors,LLC Party/Vendor Contact Person: Florencio Gonzalez Contact Phone: 919- <br /> 477-605 :a ddress:3518 Guess Rd. City Durham State:NC Zip:27705 Department:Asset Management Services <br /> Am unt: $11,000.00 Pu se: Painting and Power Washing Efland Community Center and Painting and Power Washing at Public Works <br /> Ad ration B ' in. Budget Code(s): 10240320-570000 Vendor#61921 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date June 3,2013 Approved by Board <br /> Yes❑No® Agenda Date: 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❑Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: ��°�— Date: <br /> IT Direct <br /> (Applicable only to hardware/software purchases or related service TJ is contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technol y specifications: <br /> IT Director's Signature: Date: <br /> Risk ManaEement <br /> Include the following coverages: [�fCGL; Rv Auto; Q WC; ❑ Professional; E�r Property; OR No Insurance Required El. 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: V`a'`��+-� N• Date: <br /> L-2�. SIZ9 <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary <br /> ❑ <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 Budgett/and Fiscal Control Act: I <br /> Financial Services Director's Signature: �I�`�"1 /� Date: G S` �3 <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 E'(-Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been reviewed and ed by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature --" Date: <br /> County Manager <br /> This contract has been reviewed and is approved by he County Manager Y <br /> This contract has been reviewed and 's f r 'gna e t Chair Yes❑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 />