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DocuSign Envelope ID:8BB677D7-EBF8-4E13-A6A8-6E6526C1AFD8 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor dame: Gonzalez Painters &Contractors INC PartyfVendar Contact Person: Javier Gonzalez Contact <br /> Phone: 919-619.8041 Party/Vendor Address: 4301 Bennett Memorial Rd City Durham State: NC Zip: 27705 <br /> Department: AMS Amount: $3,200.0 0 Purpose: Visitors Center Paint Budget Code(s): 10240320-570000 Vendor# <br /> 61921 (N/A if new vendor) Vendor is a Bt7CC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ <br /> Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to tecl-'co'Cusigned by ---`--at: <br /> Department Director's Signature /`offer Date: 10/24/2017 <br /> 9E88CA4GCF64498... <br /> Information Technologies <br /> (Applicable only to hardwarefsoftivare purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Manap-cment <br /> This agreement is approved for sufficiency„r,..-„*"'AP ctQndar4sa specifications,and requirements: <br /> Wcu5igned by: it <br /> aUSX �,bl'ln.t 6 10/24/2017 <br /> Office of the Risk Management Office Date: <br /> 7F6CF917E800498... <br /> Financial Services <br /> This instrument has been pre-audited in tl--�oocusigned ay:'� ''°"'� Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer A.&I" Date: 10 12512017 <br /> 7D4E5181ACC1469... <br /> Legal Services I <br /> I <br /> f <br /> I <br /> This agreement is approved as to oocusigned by. Jency: <br /> Office of the County Attorney Date: 10/26/2017 <br /> EAAM33EDCA8485... <br /> Clerk to the Roard <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion ?a ii;7ollgyd&oranaecountync.gov <br /> The fallowing signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 2117 5 <br />