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DocuSign Envelope ID: E727AB00- 9790- 421A- A227- 5C55E57ECF4B <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: 6755 Purpose: Justice Facility flooring 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 tec W f, gAA,d content: <br />Department Director's Signature <br />66 1t3Oa' Date: 12/6/2014 <br />9E880A46C F64498... <br />Information Technologies <br />(Applicable only to hardware /software purchases or related set-vices) 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 suf i ���7FDCF'9176800498... cv q insurance standards, specifications, and requirements: <br />Date: 12/8/2014 <br />Office of Risk Management <br />Financial Services <br />This instrument has been pre - audited in Ba&W„&rg0uired by the Local Government Budget and Fiscal Control Act: <br />UA'1 t ,i_�V.R ti 12/8/2014 <br />Office of the Chief Financial Officer Date: <br />2F982EC44C2C444... <br />Legal Services <br />This agreement is approved as to jkwV :suiciency: <br />, bLvu r6 v s Date; 12/8/2014 <br />Office of the County Attorney <br />EAA3D33EDSA8465... <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 />