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DocuSign Envelope ID: BD1C3454-B125-4154-BA7E-FF89F859E296 <br /> DS <br /> ORANGE COUNTY-DEPARTMENT USE ONLY vb. <br /> Department <br /> Party/Vendor Name: Nice & Green Commercial Floor Care Services Party/Vendor Contact Person: James Barnett <br /> Contact Phone: 336-380-4278 Party/Vendor Address: 5104 South NC Hwy 49 City Burlington State: NC Zip: 27215 <br /> Department: AMS Amount: $4400.00 Purpose: VCT Maintenance & carpet cleaning at Passmore & Soltys facilities <br /> Budget Code(s): 10240520-630000 Vendor# 64261 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 05/03/2017 Approved by <br /> Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical formggr , t,:by: <br /> Department Director's Signature P � Date: 5/1/2017 <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 /> IDocuSigned by: 1111 <br /> Office of the Risk Management Officer <br /> ((USX((USX COr""A.tht Date: 5/2/2017 <br /> �---7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the m putg3ctg(aWsgil by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer `�°'�"��°'v 5/2/2017 <br /> �"� Date: <br /> �---7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form grbic>vy: <br /> jaLtA, rbltvl' 5/3/2017 <br /> Office of the County Attorney Date: <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 2/17 5 <br />