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DocuSign Envelope ID:6B8CE606-D5F5-4624-BCE9-FB4174B097C3 <br /> P.O. REQUlSITION REQUEST FORM <br /> DATE: O2/1 2 T5] Contract Services <br /> REQUESTED BY: IFrederick Brooks <br /> VENDOR NUMBER: 60940 <br /> VENDOR NAME: Nice & Green Flooring solutions, L,LC <br /> WORK ORDER INFORMATION <br /> BLDG LOCATION 131 West Margaret Lane <br /> DEPARTMENT Asset Management Services <br /> TYPE OF WORK Services/Floor Cleaning <br /> DESCRIPTION ACCOUNT# QUANT11$/UNIT $TOTAL <br /> 1. Florence Gray Saftys Day Health Program 10240520-630000 $1,100.00 <br /> VCT& Carpet cleaning (est#62) <br /> 2. Central Orange Senior Center VCT (est#63) 10240520-630000 $2,925.00 <br /> COS C Carpet Cleanin fufl,rinse�........... <br /> 3. R & P Seymour Carpet (est#61) 10240520-63000,01 $3,230.80 <br /> R & P Seymour VCT(est#66) $5,101.85 <br /> 4. Whitted Health Clinic Med. Tech Flooring 10240,520-630000 $600,00 <br /> Scrub w/desinfectant cleaner <br /> TOTAL $12,957.65, <br /> NOTES: #4. Line item based on 2014 work. 2 techs 4 hrs/each was$545.00; asking for$600 to <br /> cover possible increase from Nice & Green. <br /> All other work have current estimates available upon request. <br /> N&GrequistnSeniorCtrs.xls <br />