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ORANGE COUN'_ ' I►:' t % --uNTIROL SHEL f <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 Amount: <br /> $2,800 Purpose: 1601 Eubanks Road,Chapel Hill NC -Animal Services Building: Light Power Wash and Stain exterior walls at front <br /> of the building Budget Code(s): 10240320-570000 Vendor#61921 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑ No <br /> ® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date October 31,2013 Approved by Board Yes❑ <br /> 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: Date: m&I /13 <br /> IT Di ector <br /> (Applicable only to hardtivarelsoftware purchases or related sen '. This contract has been reviec,,;i,and approve-'by thv inforniation <br /> Technology Director as to technical conent and inform : },;Qy snecifc�''- =s: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required El. Hold <br /> Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Q 'A ��,�_s— Date: Z� <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑Nolo/ A budget amendment is necessary <br /> before approval Yes❑ No[V�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 Signature: 1 ay",u, / /fit-`` _ _ Date: <br /> 16128 <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 Managere(Most ot"mracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been eviewed and approved by,tk Attorney as to legal form and sufficiency. <br /> Attorney's Signature r� _ Date: <br /> County Manager <br /> This contract has been reviewed and is pro by the County Manager Yes No❑. <br /> This contract has been reviewe r s' ature y e C Y 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 />