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DocuSign Envelope ID: 531A624F -5F3E- 4966- AE71- AC91280DFFCE <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />NOT A CONTRACT EXHIBIT OR ATTACHMENT <br />Department <br />Party/Vendor Name: Tile Restoration, Inc. Party/Vendor Contact Person: Brad Albritton Contact Phone: 252 -916- <br />2045 Party/Vendor Address: 119 East Main Street, PO Box 160 City Hookerton State: NC Zip: 28538 Department: <br />Asset Management Services Amount: 8610 Purpose: New Courthouse floorine Budget Code(s): 10240520- 630000 <br />Vendor # 61702 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) <br />New ® Renewal ❑ Amendment ❑ Effective Date 12/01/2014 Approved by Board Yes❑ No❑ Agenda <br />Date: <br />This agreement is approved as to technical form and content: <br />5y; uSigned by: <br />Department Director's Signature �O'"it3Oai Date: 12/6/2014 <br />9E880A46CF64498... <br />Information Technologies <br />(Applicable only to hardware /software purchases or related services) This agreement has been reviewed and is <br />approved as to information technology content and specifications: <br />Office of the Director of Information Technology <br />Risk Management <br />Date: <br />This agreement is approved for ���3�'', ""of''insurance standards, specifications, and requirements: <br />Qus r,6vvte tt0 12/8/2014 <br />Office of Risk Management Date: <br />FeeF9-r�6eaaa ... <br />Financial Services <br />This instrument has been pre- audited i D m#gN cpquired by the Local Government Budget and Fiscal Control Act: <br />Office of the Chief Financial Officer UA V.R ti Date: 12/8/2014 <br />2F982EC44C2C444... <br />Legal Services <br />This agreement is approved as to,"fcmi.aisO sufficiency: <br />Office of the County Attorney 1°e�t,vfs J Date: 12/8/2014 <br />Clerk to the Board <br />Received for record retention: <br />Office of the Clerk to the Board <br />Revised 7/14 4 <br />Date: <br />