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DocuSign Envelope ID:897E46E3-FA01-48C0-AD59-05BF8E64A105 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Gonzalez Painters & Contractors, Inc Party/Vendor Contact Person: Florencio Gonzalez <br /> (gonzalez_painters @frontier.com) Contact Phone: 919.477.6058 Party/Vendor Address: 4301 Bennett Memorial <br /> Road City Durham State: NC Zip: 27705 Department: Emergency Services Amount: NTE: $3,000.00 Purpose: <br /> Paint two conference rooms (wall&trim),remove painted white board and repair drywall as needed for Emergency <br /> Operations Center. Paint accent wall and door trim for ES Lobby. Budget Code(s): 30750020 630000 71049 <br /> Vendor#61921 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date 9/22/17 Approved by Board Yes' No Agenda <br /> Date: <br /> This agreement is approved as to technical form and content: <br /> 9 Y <br /> Department Director's Signature �` � �` S Date: 9/19/2017 <br /> .4S4473.. <br /> Asset Management <br /> (Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction <br /> services content and specifications: <br /> Office of the Asset Management Directoi94:7°" Date: 9/21/2017 <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Office alisa Co""`flo Date: 9/25/2017 <br /> Financial Services <br /> r l "6 This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer rl" 'A 4°"" °" Date: 9/25/2017 <br /> WESMIAGG 1409.. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> �,�oluA,rokyfs 9/26/2017 <br /> Office of the County Attorney °°, Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(a)orangecountync.gov <br /> Revised 2/17 6 <br />