Orange County NC Website
DocuSign Envelope ID:42B34709-DUA-42FD-B1EO-337ECO91EF91 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: CertaPro Painters Party/Vendor Contact Person: Chad Watson (cwatson(&certapro.com) <br /> Contact Phone: 919.219.2984 Party/Vendor Address: 6104 Oak Forest Drive City Raleigh State: NC Zip: 27616 <br /> Department: AMS/Sportsplex Amount: 32,682 Purpose: Paint exterior of building as outlined in proposal Budget <br /> Code(s): 54540030 880000 Vendor#65752 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 8/30/19 Approved by Board <br /> Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> Department Director's Signature[ 8/25/2019 <br /> �w t Date: <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: N/A <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Office QGs� �a" R Date:8/25/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> PL Act: <br /> Office of the Chief Financial Officer rI-N "' Date: 8/26/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney �' ° Date:8/26/2019 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.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 12/18 5 <br />