HomeMy WebLinkAboutR 2013-452 AMS - Gonzalez Painters painting 2551 Homestead Rd Interior of Wellness Center $950 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 and Contractors,LLC. Party/Vendor Contact Person: Flonencio Gonzalez Contact Phone:919-
477-6058 Party/Vendor Address:3518 Guess Road City Durham State:NC Zip:27705 Department:Asset Management Services
Amount:$950.00 Purpose:2551 Homestead Road„Chapel Hill: Paint the interior of the Wellnes Center Budget Code(s): 10240320-
570000 Vendor#57979 (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: 10 [Z-C ((3
I rector
(Applicable only to hardware/software purchases or related servi e This contract has been reviewed and approved by the Information
Technology Director as to technical content and information to olo specifications:
IT Director's Signature: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold
Contract pending receipt of Certificate of Insurance ith incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date: ld
Financial Services
This Contract is conditioned toon appropriation by the Board of Commissioners Yes❑No[E/ 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 Budget and Fiscal Control Act:
Financial Services Director's Signature: ''� Date: �0 U
County Attorney
Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any_B WC
consultant contract). Approval by Manager❑(Most other contracts$1,000 and above). Department Director approval only (Under
$1,000). This contract has been r iewe d a proved by the Attorney as to legal form and sufficiency:
Attorney's Signature -�� Date:
County Manager
This contract has been reviewed and is approved by the County Manager Yes[:]No❑.
This contract has been reviewed and is for signature by the Chair Yes❑No❑.
Manager's Signature: N r 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