Orange County NC Website
DocuSign Envelope ID: E34D59A8-5DED-42AB-B007-C9F17F80DB8C <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Gonzalez Painters & Contractors INC Party/Vendor Contact Person: Javier Gonzalez Contact <br /> Phone: 919-619-8041 Party/Vendor Address: 4301 Bennett Memorial Rd City Durham State: NC trip: 27705 <br /> Department AMS Amount; 56,800.00 Purpose: Tax Admin PaintirAtr Budget Code(s): 10240320-570001 Vendor# <br /> 61921 (N/A if new vendor) Vendor is a BQCC consultant? Yes ❑ No❑ Contract Type: (Check one)New❑ <br /> Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No[] Agenda Date: <br /> This a eement is a roved as to te-L_:__'t_-- -- `ent <br /> !� app �ocu5igned by: <br /> Department Director's 5ignatur �-# Date: 9/6/2016 <br /> 9E88CA4GCF64408... <br /> Information Technologies <br /> (;applicable only to hardwarelsoftware 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 sufficienLaus. `"Docu5iggneeVb d by: rds,specifications,and requirements: <br /> Office Of fhe Risk MaIIagemenf Office 7FDCF9176800498... Date:9/6/2016 <br /> Financial Services <br /> This instrument has been pre-audited in oocusigned by: he Local Government Budget and Fiscal Control Act: <br /> 0.4,1.Office of the Chief Financial Officer 0.4,1. Date: 9/6/2016 <br /> 704E5981ACC1409... <br /> Legal Services <br /> This agreement is approved as oocusigned by: ficiency: <br /> Office of the County Attorne. Date:9/7/2016 <br /> EAA3033E08A84S5... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completionLa1' Dollo d oranMcountync.gov <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 6/15 <br />