Orange County NC Website
DocuSign Envelope ID: D545F945-DEA6-40D2-AC14-26F2DDB350F2 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> PartyNendor Name: Gonzalez Painters & Contractors INC Party/Vendor Contact.Person: Javier Gonzalez Contact <br /> Phone: 419-619-8041 Party/Vendor Address: 4301 Bennett Memorial Rd City Durham State: NC Zip: 27705 <br /> Department:AMS Amount:112,000,00 Purpose:Old Courthouse Paint Budget Code(s): 10240320-570000 Vendor# <br /> 61921 (NIA if new vendor) Vendor is a BOCC 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 techr" `°r. ._'by, <br /> --`--` <br /> 171) �ocu5igned dy: - <br /> Department Director's Signature 1EP9E88CA46CF64408`if6 �-yon,, Date:10/24/2017 <br /> Information Teehtiolo ides <br /> (Applicable only to har&are/softwate purchases or related set-vices)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 Management <br /> This agreement is approved for sufficiency of;„nCiocuSigned ay A' A" specifications,and requirements: <br /> aUSX (,bV1n.t,{�6 10/24/2017 <br /> Office of the Risk Management Officer Date: <br /> 7F6CF9176800498.-. <br /> Financial Services <br /> I <br /> This instrument has been pre-audited in the DocuSigned by: '' Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 0 Date: 10/25/2017 <br /> 704E5A81ACC1469.-. <br /> Letal Services a <br /> This agreement is approved as to le ooeusigned_ey: agcy: <br /> Office of the County Attorney �6�j, PkA Date: 10/26/2017 <br /> EAMMaEMAW5-.- -- <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion i@ 1)oilvvci(cf)oranilecountync.-Ov <br /> The following 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 21t7 5 <br />