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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 and Contractors,LLC. Party/Vendor Contact Person: Flonencio 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:$950.00 Purpose:2551 Homestead Road„Chapel Hill: Paint the interior of the Wellnes Center Budget Code(s): 10240320- <br /> 570000 Vendor#57979 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New <br /> Renewal❑ Amendment ❑ Effective Date October 31,2013 Approved by Board Yes❑No® Agenda Date: Title of <br /> 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: 10 [Z-C ((3 <br /> I rector <br /> (Applicable only to hardware/software purchases or related servi e This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information to olo specifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance ith incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: ld <br /> Financial Services <br /> This Contract is conditioned toon appropriation by the Board of Commissioners Yes❑No[E/ 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 Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: ''� Date: �0 U <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_B WC <br /> consultant contract). Approval by Manager❑(Most other contracts$1,000 and above). Department Director approval only (Under <br /> $1,000). This contract has been r iewe d a proved 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 the County Manager Yes[:]No❑. <br /> This contract has been reviewed and is for signature by the Chair Yes❑No❑. <br /> Manager's Signature: N r 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 />