Orange County NC Website
DocuSign Envelope ID: D7239893-AF36-4784-B5F7-92811A2DB4CD <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Nice & Green Flooring Solutions, LLC Party/Vendor Contact Person: Chris Weske Contact <br /> Phone: 336-404-9197 Party/Vendor Address: 1183 University Drive,#105-113 City Burlington State:NC Zip: 27215 <br /> Department:AMS Amount: $11,656.80 Purpose: Flooring restoration in various locations Budget Code(s): 10240520- <br /> 630000 Vendor#60940 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check <br /> one) New ® Renewal ❑ Amendment ❑ Effective Date 05/05/2016 Approved by Board Yes❑ No❑ <br /> Agenda Date: <br /> This agreement is approved as to technical to �&PQPAtny: <br /> Department Director's Signature 7 Date: 5/13/2016 <br /> 9E880A46CF64498... <br /> Information Technolosies <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 Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> Docu5igned""by: <br /> ''1111 <br /> Office of the Risk Management Officer <br /> Fausa, rv�c,�16 Date: 5/13/2016 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manned C 1 he 4Yby the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 5/27/2016 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal forma ;__i vsysiv <br /> Office of the County Attorney rb�� Date: 5/27/2016 <br /> 33ED8A8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.plc.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 1/16 4 <br />