Orange County NC Website
ao `79 <br /> 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&Contrractors,LLC Party/Vendor Contact Person: Florencio Gonzalez Contact Phone: 919- <br /> 477-6058 Party/Vendor Address:3518 Guess Road City Durham, State:NC Zip:27705 Department:Asset Management Services <br /> Amount: $17,450.00 Purpose:Painting and Carpentry Work at F.Battle Courtroom/New Courthouse Budget Code(s): 10240320-570000 <br /> Vendor#61921 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type:(Check one)New® Renewal <br /> ❑ Amendment ❑ Effective Date August 30,2013 Approved by Board 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❑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: e C—r Date: Z� (13 <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and in ati n technology specifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: [2*CGL; ❑ Auto; WC; ❑ Professional; Property; OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance 6�? With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: ��" Date: <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❑NofM. 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 Bud et and Fiscal Control Act: p <br /> Financial Services Director's Signature: bw�+�✓ /✓• bkA— Date: J C <br /> CountV 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.EJ(Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been rev' wed and a ttorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager <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 Cha' Yes❑No <br /> Manager's Signature: Date: <br /> erk to the Board <br /> Approved by BOCC on the_day of 20 . Submitted for Chair signature on the_day of 120 . <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />