HomeMy WebLinkAboutR 2016-571-E AMS - Gonzalez Painters & Contractors Inc. for Norwood Law painting DocuSign Envelope ID: BAA7622D-F739-4FEB-B14B-B159D1AAFE25
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Gonzalez Painters & Contractors INC Party/Vendor Contact Person: Javier Gonzalez Contact
Phone: 919-619-8041 Party/Vendor Address: 4301 Bennett Memorial Rd City Durham State: NC Zip: 27705
Department: AMS Amount: $1,900.00 Purpose: Norwood Law Painting 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 10/21/2016 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and content:
uSigned by:
Department Director's Signature Fi; O'"y'�O"� Date: 10/18/2016
9E880A46CF64498...
Information Technolosies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications,and requirements:
DocuSigned by:
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Office of the Risk Management Officer
FaUSX r,6ntt�16 Date: 10/19/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner,gn9yged by the Local Government Budget and Fiscal Control Act:
DocuSign y:
Office of the Chief Financial Officer Date: 10/19/2016
(� s�oraR,�losz
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
uSigned by:
r6 v s 10/19/2016
Office of the County Attorney 56Z, Date:
EAAMKEDM8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.Rov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 6/16 5