R 2015-665-E AMS - Nice & Green Flooring Solutions, LLC for flooring at various locations

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DocuSign Envelope ID: 5F881 E6C-3715-4901-B7F9-F45E3B6F822A ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Nice & Green Flooring Solutions,LLC Party/Vendor Contact Person: Chris Weske, Owner Contact Phone: 336.404.9197 Party/Vendor Address: 3254 Anthony Court S. City Burlington State: NC Zip: 27215 Department:AMS Amount: $25,432.50 Purpose: Flooring at various locations Budget Code(s): 10240520- 630000 Vendor # 60940 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ Agenda Date: This agreement is approved as to technical f d;daVit: Department Director's Signature P Date: 12/30/2015 �--9E880A46CF64498... Information Technologies (Applicable only to hardware/software 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 Management This agreement is approved for sufficiency of inpr cgs i rds, specifications,and requirements: ((USA. COVI/ut t 12/30/2015 Office of the Risk Management Officer Date: 7FDCF9176800498... Financial Services 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 Officer (21"N ` ru.4°'v Date: 12/31/2015 � 7D4E5181ACC1409... Legal Services This agreement is approved as to legal form anclrguaki :by: jaLtA, lebltxfs 12/31/2015 Office of the County Attorney Date: �- -EAA3D33ED8A8465... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.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 10/14 8