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DocuSign Envelope ID:AF325259-CDD5-451D-9FF8-03E242D66646 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> PartyNendor Name: Gonzalez Painters & Contractors fNC PartyNeador 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: $16,500.00 Purpose: Courthouse Painting Budget Code(s): 10240320-570001 Vendor# <br /> 61921 (N/A 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 tec` -bo'uSigned by:' <br /> Department Director's Signature COEMCMGCF64408...� Date:9/12/2016 <br /> Information Technologies <br /> (Applicable only to hardwaralsofiware 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 Management <br /> This agreement is approved for sufficienc- -°Qocusig�ed.by:' -ds,specifications,and requirements:. <br /> Qusa" (hD 6 9/14/2016 <br /> Office of the Risk Management Officer Date: <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited it Docusigned ay: the Local Government Budget and Fiscal Control Act_ <br /> Office of the Chief Financial Officer rqt�j Date: 9/14/2016 <br /> 7NE5181ACC1469... <br /> Legal Services <br /> This agreement is approved as t DocuSigned by, ciency: <br /> ,�a(�, <br /> Office of the County Attoriney EAAM33ED8AW5... Date: 9/15/2016 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollcyd@a orangecountync-gov <br /> The following signature Mock is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 6116 s <br />