HomeMy WebLinkAboutR 2019-650 AMS - Gonzalez Painters Animal Services DocuSign Envelope ID:AF8C0098-E41E-4A92-l3EA6-388EE5DF4E16
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Gonzalez Painters & Contractors, INC Party/Vendor Contact Person: Hector Javier Rivera
Contact Phone: 919-702-5510 Party/Vendor Address: 4301 Bennett Memorial Road City Durham State: NC Zip:
27705 Department: AMS Amount: $2,900.00 Purpose: Animal Sery Paint Budget Code(s): 10240320-570000
Vendor# 61921 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)
New❑ Renewal❑ Amendment ❑ Effective Date 9/30/2019 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work on
this project has not been initiated prior to execution of the agreement:
DocuSigned by:
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Department Director's Signature 9MA Date:9/23/2019
2DD9CD6681844C5.
Agreements for emergency services or repair are not subject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that was
addressed:
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of insurance DocuSigned by: ons,and requirements:
Qusa. (,DV1n. 6 9/24/2019
Office of the Risk Management Officer Date:
7FDCF917E800498.
Financial Services
This instrument has been re-audited in the many------ =- a' `' -T -- ' Government Budget and Fiscal Control Act:
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ned by: g
s� w 9/24/2019
Office of the Chief Financial Officer Date:
.
Legal Services
This agreement is approved as to legal form ai Docu$igned by:
Office of the County Attorney Date:9/24/2019
EAA3D33ED8AM65..
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.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 12/18 4