HomeMy WebLinkAboutR 2013-378 AMS - Gonzalez Painters & Contractors - Painting Exterior Hand Rail at Seymour Senior Center $1,800 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-
477-6058 Party/Vendor Address:3518 Guess Road City Durham State:NC Zip:27705 Department: Asset Management Services
Amount: $1800.00 Purpose:Paint exterior metal hand rail outside of Seymour Senior Center at 2551 Homestead Road,Chapel Hill
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 September 9,2013 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❑No® Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date: 62--s
IT Dir for
(Applicable only to hardware/software purchases or related se e This contract has been reviewed and approved by the Information
Technology Director as to technical content and information tec logy specifications:
IT Director's Signature: Date:
Risk Management
Include the following coverages: VCGL; ❑ Auto; WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold
Contract pending receipt of Certificate of Insurance V With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager: ,n
Risk Manager's Signature: Date: 9, 13113
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑NoE/ A budget amendment is necessary
before approval Yes❑ NoIf budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Bud et and Fiscal Contr 1 Act-
Financial Services Director's Signature: na4K E✓ �V'"'"" Date: I�
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 i❑(Most other contracts$1,000 and above). Department Director approval only ❑ (Under
$1,000). This contract has been revie�yed and the Attorney as to legal form and sufficiency:
Attorney's Signature `__, Date:
County Mana/sN
This contract has been reviewed and is approved by the County Manager Yo❑.
Thi s contract has been reviewed and is for signature by the Chair es❑N
Manager's Signature: Date: S 3
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