HomeMy WebLinkAboutR 2014-192 AMS - Gonzalez Painters and Contractors for SHSC & DSS renovations ae)l-- 19Z
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 Gonzelez Contact Phone:919-
477-6058 Party/Vendor Address:3518 Guess Road City Durham State:NC Zip:27705 Department:Asset Management Services
Amount:$13,800 Purpose: (1)Southern Human Services Center-2501 Homestead Road Chanel Hill NC: Remove existing carpet an d
install new VCT the including cove base;Remove existing wood panel and install new window lg ass(single pane)-$4,000 and(22)
Hillsborough Commons/DSS- 1133 Mayo Street,Hillsborough,NC: Move wall •relocate electrical cables and lights as needed;build
new wall with entrance;install new door;remove extiting flooring and install new flooring-$9,800. Budget Code(s): 10400130-803000
Vendor#61921 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal
❑ Amendment ❑ Effective Date April 28,2014 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: G�(�,o..-•��' Date: Lt t�(
IT it for
(Applicable only to hardware/software purchases or related servic This contract has been reviewed and approved by the Information
Technology Director as to technical content and information tec olo specifications:
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 ❑. With incorporation of Insurance provisions as sho
by the Risk Manager: D
Risk Manager's Signature: L1'_ 1,_0 Date: APR 2 1 2014
Financial Services
This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No[1( A bud
❑
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 ct: ,r
Financial Services Director's Signature: Date: 2� r
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 Managelz_(Most other contracts$1,000 and above). Department Director approval only ❑ (Under
$1,000). This contract has been eviewed and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: /,
Al
County Manager
This contract has been reviewed and is app v y the 5:7 Yes o❑.
This contract has been reviewed Zo f r a re by 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
Revised March 2012