R 2016-749 AMS - Gonzalez Painting Library painting

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DocuSign Envelope ID:4720794E-16A1-43A1-88D2-962EDB327635 ORANGE COUNTY-DEPARTMENT USE ONLY De artment PartyNendor Name: Gonzalez Painters & Contractors INC Party/Vendor Contact Person: Javier Gonzalez Contact Phone: 919-619-8041 Party/Vendor Address: 4301 Bennett Memorial Rd City Durham State: NC Zip: 27705 Department: AMS Amount: $12,000.00 Purpose: Libraa Painting Budget code(s): 10240320-570001 Vendor# 61921 (N/A if new vendor) Vendor is a B©CC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑ Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date: This agreement is approved as to tech Docusigned by: t: Department Director's Signature_ Ate" Date: Asset Management services Di recta 9E88CA46CF64408... Information Technologies (Applicable only to hardware./software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk_ManaQement This agreement is approved for sufcienc' Docusigned by: -ds,specifications,and requirements:. QCtSa C6��6 9/6/2016 Office of the Risk Management Officer 7FDCF9176900498... Date. - __ Financial Services This instrument has been pre-audited v Docusigned by: the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer rjt;� Date: 9/6/2016 7NE5181ACC1409... L2gal Services This agreement is approved as to Docusigned by: ciency: Office of the County Attorney Date:9/7/2016 EAA3033E08A8465... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollo d orangecountvnc.aov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 611.6 5