HomeMy WebLinkAboutR 2013-164 AMS - Gonzalez Painters & Contractors for Roof Repklacement $16,300 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-
477-605X
Dnc cr_Address:3518 Guess Rd. City Durham State:NC Zip:27705 Department:Asset Management Services
Amo nt: $16,300.00 Pu ose:Roof Replacement at Efland Community Center and Public Works Administration Building Budget
5
Cod (s):6�_137003 -88(Q 0-30002 Vendor#61921 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑NoF� Contract
,�s). e,
Type: eck o ew M Renewal❑ Amendment ❑ Effective Date June 3,2013 Approved by Board Yes❑NoN Agenda
Date: Title of Contract:
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑Non. 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: OJ44, C-1-Z�' Date: fs
I Di e or
T,X
" or
(Applicable only to hardware/software purchases or related services) his contract has been reviewed and approved by the Information
Technology Director as to technical content and information techno og specifications:
IT Director's Signature: Date:
Risk Manj*j!ement
Include the following coverages: IS/CGL; [VAuto; EYWC; &Professional; ❑ Property; OR No Insurance Require n. Hold
Contract pending receipt of Certificate of Insurance El. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager: AM*"-
Risk Manager's Signature: Date:
Financial Services
This Contract is conditioned on 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 Budget and Fiscal Control Act:
Financial Services Director's Signature: A4— Date:
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 X (Most other contracts$1,000 and above). Department Director approval only❑(Under
$1,000). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: 13
County Manager
This contract has been reviewed and is approved b the Cou ty Manager Yo❑.
This contract has been reviewed and is for si 1Z by the hair Yes❑NQD�-
Manager's Signature: Ky Date:.4 -tl(1-13
Clerk to the Board
Approved by BOCC on the day of V0 _1 Submitted for Chair signature on the_day of 20_.
Clerk's Signature: Date:
Revised March 2012