HomeMy WebLinkAboutR 2013-446 AMS - Gonzalez Painters & COontractors for work on Animal Services Bldg $2,800 ORANGE COUN'_ ' I►:' t % --uNTIROL SHEL f
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 Amount:
$2,800 Purpose: 1601 Eubanks Road,Chapel Hill NC -Animal Services Building: Light Power Wash and Stain exterior walls at front
of the building 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 October 31,2013 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: m&I /13
IT Di ector
(Applicable only to hardtivarelsoftware purchases or related sen '. This contract has been reviec,,;i,and approve-'by thv inforniation
Technology Director as to technical conent and inform : },;Qy snecifc�''- =s:
IT Director's Signature: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required El. Hold
Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: Q 'A ��,�_s— Date: Z�
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑Nolo/ A budget amendment is necessary
before approval Yes❑ No[V�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 Signature: 1 ay",u, / /fit-`` _ _ Date:
16128
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 Managere(Most ot"mracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has been eviewed and approved by,tk Attorney as to legal form and sufficiency.
Attorney's Signature r� _ Date:
County Manager
This contract has been reviewed and is pro by the County Manager Yes No❑.
This contract has been reviewe r s' ature y e C Y 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