HomeMy WebLinkAboutR 2013-163 AMS - Gonzalez Painters & Contractors for Painting and Power Washing $11,000 ORANGE COUNTY-CONTRACT CONTROL SHEET
Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk
This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager
determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for
BOCC approval must be submitted through, and complete,the routing process prior to agenda review. Contracts for legal review should
be completed through the legal review process prior to being routed for signature.
Department
Party/Vendor Name: Gonzalez Painters&Contractors,LLC Party/Vendor Contact Person: Florencio Gonzalez Contact Phone: 919-
477-605 :a ddress:3518 Guess Rd. City Durham State:NC Zip:27705 Department:Asset Management Services
Am unt: $11,000.00 Pu se: Painting and Power Washing Efland Community Center and Painting and Power Washing at Public Works
Ad ration B ' in. Budget Code(s): 10240320-570000 Vendor#61921 (N/A if new vendor) Vendor is a BOCC consultant?
Yes ❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date June 3,2013 Approved by Board
Yes❑No® Agenda Date: Title of Contract:
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were
bids/RFPs received Yes❑Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: ��°�— Date:
IT Direct
(Applicable only to hardware/software purchases or related service TJ is contract has been reviewed and approved by the Information
Technology Director as to technical content and information technol y specifications:
IT Director's Signature: Date:
Risk ManaEement
Include the following coverages: [�fCGL; Rv Auto; Q WC; ❑ Professional; E�r Property; OR No Insurance Required El. Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: V`a'`��+-� N• Date:
L-2�. SIZ9
Financial Services
This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary
❑
before approval Yes No[ If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Budgett/and Fiscal Control Act: I
Financial Services Director's Signature: �I�`�"1 /� Date: G S` �3
County Attorney
Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Manager E'(-Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has been reviewed and ed by the Attorney as to legal form and sufficiency:
Attorney's Signature --" Date:
County Manager
This contract has been reviewed and is approved by he County Manager Y
This contract has been reviewed and 's f r 'gna e t Chair Yes❑No
Manager's Signature: Date:
Clerk to the Board
Approved by BOCC on the_day of 20 . Submitted for Chair signature on the_day of 20
Clerk's Signature: Date:
Revised March 2012