Orange County NC Website
DocuSign Envelope ID:9A212D25-37E3-46C7-8213-8F3F9F08256D <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Nice & Green Flooring Solutions, LLC Party/Vendor Contact Person: Chris Weske, Owner <br /> Contact Phone: 336-404-9197 Party/Vendor Address: 1183 University Dr. #105-113 City Burlington State: NC Zip: <br /> 27215 Department: AMS Amount: $2,428.75 Purpose: Flooring restoration - south side county facilities Budget <br /> Code(s): 10240520-630000 Vendor# 60940 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 01/03/2017 Approved by Board <br /> Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature P.# �O"`7"�°"' Date:12/28/2016 <br /> �--9E880A46CF64498... <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 Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> DocuSigned""by: <br /> ''11i1 <br /> Office of the Risk Management Officer Q�Sa �,Orvu t16 Date: 1/17/2017 <br /> � 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the ggctg j ji s 1 by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer ` °'u 0°'� Date: 1/17/2017 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form ap.d...seagtociv <br /> bLtA, lebltxfs <br /> Office of the County Attorney Date: 1/18/2017 <br /> '----EAA3D33ED8A8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.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 6/16 5 <br />