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: Gonzalez Painters&Contractors,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: $1800.00 Purpose:Paint exterior metal hand rail outside of Seymour Senior Center at 2551 Homestead Road,Chapel Hill <br /> Budget Code(s): 10240320-570000 Vendor#61921 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract <br /> Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date September 9,2013 Approved by Board Yes❑ No® <br /> 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: Date: 62--s <br /> IT Dir for <br /> (Applicable only to hardware/software purchases or related se e This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information tec logy specifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: VCGL; ❑ Auto; WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance V With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: ,n <br /> Risk Manager's Signature: Date: 9, 13113 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑NoE/ A budget amendment is necessary <br /> before approval Yes❑ NoIf 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 Contr 1 Act- <br /> Financial Services Director's Signature: na4K E✓ �V'"'"" Date: I� <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 i❑(Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been revie�yed and the Attorney as to legal form and sufficiency: <br /> Attorney's Signature `__, Date: <br /> County Mana/sN <br /> This contract has been reviewed and is approved by the County Manager Yo❑. <br /> Thi s contract has been reviewed and is for signature by the Chair es❑N <br /> Manager's Signature: Date: S 3 <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 />