HomeMy WebLinkAboutR 2020-158 AMS - Gonzalez Courthouse painting DocuSign Envelope ID: F202BA43-FFBB-479D-A3DC-3F53200045DB
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Gonzalez Painters & Contractors.Ane Party/Vendor Contact Person: Hector Javier Rivera
Contact Phone: 919-702-5510 Party/Vendor Address: 4341 Bennett Memorial Road City Durham State: NC Zip:
27705 Department: AMS Amount: Not to exceed (Twenty Three Hundred Dollars 2300.00 Purpose: Interior
painting of Historic Court House in Court Room Budget Code(s): 10240320-570000 Vendor # 61921 (NIA if new
vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New M Renewal ❑
Amendment ❑ Effective Date 02/05/2020 Approved by Board Yesn NoM 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:
Department Director's Signat si= QIM A Date:
Agreements for emergency servi sDD9CDae81844C5... 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: NA
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 Mana-zement
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
DocuSigned by:
Office of the Risk Management Of ausa C6W_&6 Date:
Dg 7FDCF9176900498...
�7L Financial Services j
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
DocuSigned by:
Office of the Chief Financial Off Date:
704E5981ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
Docu Signed by:
Office of the County Attor C?C5F3CDDF0B94F6
%f!_ hmv, Date:
...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountyne.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 I1/19 4
DocuSign Envelope ID: F202BA43-FFBB-479D-A3DC-3F53200045DB