Orange County NC Website
ae)l-- 19Z <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&Contractors,LLC Party/Vendor Contact Person: Florencio Gonzelez Contact Phone:919- <br /> 477-6058 Party/Vendor Address:3518 Guess Road City Durham State:NC Zip:27705 Department:Asset Management Services <br /> Amount:$13,800 Purpose: (1)Southern Human Services Center-2501 Homestead Road Chanel Hill NC: Remove existing carpet an d <br /> install new VCT the including cove base;Remove existing wood panel and install new window lg ass(single pane)-$4,000 and(22) <br /> Hillsborough Commons/DSS- 1133 Mayo Street,Hillsborough,NC: Move wall •relocate electrical cables and lights as needed;build <br /> new wall with entrance;install new door;remove extiting flooring and install new flooring-$9,800. Budget Code(s): 10400130-803000 <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 April 28,2014 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: G�(�,o..-•��' Date: Lt t�( <br /> IT it for <br /> (Applicable only to hardware/software purchases or related servic This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information tec 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 El. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as sho <br /> by the Risk Manager: D <br /> Risk Manager's Signature: L1'_ 1,_0 Date: APR 2 1 2014 <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No[1( A bud <br /> ❑ <br /> before approval Yes No[ 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 ct: ,r <br /> Financial Services Director's Signature: Date: 2� r <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 Managelz_(Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been eviewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: /, <br /> Al <br /> County Manager <br /> This contract has been reviewed and is app v y the 5:7 Yes o❑. <br /> This contract has been reviewed Zo f r a re by 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 /> Revised March 2012 <br />