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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 Party/Vendor Contact Person: Florencio Gonzalez Contact Phone: 919-477- <br /> 6058 Party/Vendor Address: 3518 Guess Road City Durham State:NC Zip: 27705 Department:Asset Management Services Amount: <br /> $5,250.00 Purpose: Crpenta/Paint Work at 113 May Streeet Hillsborough NC(DSS/Hillsborough Commons Budget Code(s): <br /> 10240320-570000 Vendor#61921 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) <br /> New® Renewal❑ Amendment ❑ Effective Date October 14,2013 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: ��— Date: /v L(r3 <br /> IT ire or <br /> (Applicable only to hardware/software purchases or related services is contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information tec to specifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; E] Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. 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: an_.� Dater <br /> bl4 <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑NoE( A budget amendment is necessary <br /> before approval Yes❑No M. 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 Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: �� .J Date: 1 1I r <br /> 13 <br /> rl County Attorney <br /> Approva (Contracts $90,000.00 more for goods or services, $2 more for construction, or any BOCC <br /> consultant contract). Approva nagerost other contr and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been r viewed the Attorney as to legal form and sufficiency: <br /> Attorney's Signature e: � <br /> County Manager <br /> This contract has been reviewed and is appro d by the County Manager Yes[ No❑. <br /> This contract has been reviewe d i r ture y he C Y ❑No❑. <br /> Manager's Signature: ____ Date: 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 />