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DocuSign Envelope ID: 7DA537F6-EEE6-4EEA-B8F6-9B994A704826 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> NOT A CONTRACT EXHIBIT OR ATTACHMENT <br /> Department <br /> Party/Vendor Name: Nice and Green Floorine Solutions, L.L.C. Party/Vendor Contact Person: Chris Weske Contact <br /> 3A#•,lt q-ylyjPhone: 15fm+Q4-9+9+�Party/Vendor Address: 1183 University Dr. #105-113 City Burlin tgton State: NC Zip: 27215 <br /> Department: Social Services Amount: $5,480 Purpose: Floors Budget Code(s): 10400120-630000 Vendor# <br /> NIA (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New <br /> Renewal ❑ Amendment ❑ Effective Date July 1,2015 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical fa anc4`L��ll!2TIwlby: <br /> Department Director's Signature No F_1E1Q2AUR4r5 Date: 7/2/2015 <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 Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of i rlls`8_5_4�dwds,specifications, and requirements: <br /> 7/3/2015 <br /> Office of Risk Management CF9nseooa9a_ Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manne rp u°ire�`f�y e Local Government Budget and Fiscal Control Act: <br /> A.U�, �bin, 7/6/2015 <br /> Office of the Chief Financial Officer 232DFFC Date: <br /> Legal Services <br /> This agreement is approved as to legal form and u- h'8y by. <br /> Office of the County Attorney1 Date: 7/6/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 7114 4 <br />