R 2016-530-E AMS - Carolina Cleaning Associates for cleaning services

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DocuSign Envelope ID:0182CE2A-782E-419C-BBAF-41AC529B06BF ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Carolina Cleaning Associates Party/Vendor Contact Person: Joe Bumgarner, Jr, Business Manager Contact Phone: 919-880-7870 Party/Vendor Address: 348 Elizabeth Brady City Hillsborough State: NC Zip: 27278 Department: AMS Amount: $35,952.64+Emergency Callback Purpose: Cleaning needs at various county locations Budget Code(s): 10240520-630000 Vendor# 14996 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date 09/13/2016 Approved by Board Yes❑Nor-1 Agenda Date: This agreement is approved as to technical form and content: Docu Signed by: Department Director's Signature +ti Date: 9/9/2016 9E880A46CF64498... Information Technolosies (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 insurance standards, specifications,and requirements: DocuSigned""by: ''11i1 Office of the Risk Management Officer rausa, (,6rvu,�16 Date: 9/9/2016 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 ([_ !N Date: 9/12/2016 7D4E5181ACC1409... Legal Services This agreement is approved as to legal form 511, Niqlafy: Office of the County Attorney ,66, r6ufs Date: 9/16/2016 EAA3D33ED8A8465... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkorangecount.nic.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 6/16 8