HomeMy WebLinkAboutR 2016-750 AMS - Gonzalez Painting Tax Admin painting DocuSign Envelope ID: E34D59A8-5DED-42AB-B007-C9F17F80DB8C
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 trip: 27705
Department AMS Amount; 56,800.00 Purpose: Tax Admin PaintirAtr Budget Code(s): 10240320-570001 Vendor#
61921 (N/A if new vendor) Vendor is a BQCC consultant? Yes ❑ No❑ Contract Type: (Check one)New❑
Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No[] Agenda Date:
This a eement is a roved as to te-L_:__'t_-- -- `ent
!� app �ocu5igned by:
Department Director's 5ignatur �-# Date: 9/6/2016
9E88CA4GCF64408...
Information Technologies
(;applicable only to hardwarelsoftware 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 sufficienLaus. `"Docu5iggneeVb d by: rds,specifications,and requirements:
Office Of fhe Risk MaIIagemenf Office 7FDCF9176800498... Date:9/6/2016
Financial Services
This instrument has been pre-audited in oocusigned by: he Local Government Budget and Fiscal Control Act:
0.4,1.Office of the Chief Financial Officer 0.4,1. Date: 9/6/2016
704E5981ACC1409...
Legal Services
This agreement is approved as oocusigned by: ficiency:
Office of the County Attorne. Date:9/7/2016
EAA3033E08A84S5...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completionLa1' Dollo d oranMcountync.gov
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 6/15