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DocuSign Envelope ID: 3A6DC95C-F02F-4889-9A56-571430E33C9F <br /> DS <br /> ORANGE COUNTY-DEPARTMENT USE ONLY r Joj <br /> Department <br /> Party/Vendor Name: Nice & Green Commercial Party/Vendor Contact Person: James Barnett Contact Phone: 336- <br /> 380-4276 Party/Vendor Address: 5104 S NC Hwy 49 City Burlington State: NC Zip: 27215 Department: AMS <br /> Amount: 12.851.50 Purpose: Carpet Cleaning Justice & West Campus Office Building Budget Code(s): 10240520- <br /> 630000 Vendor#64261 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check <br /> one) New ® Renewal ❑ Amendment ❑ Effective Date 05/16/2017 Approved by Board Yes❑ No❑ <br /> Agenda Date: <br /> This agreement is approved as to technicalialent: <br /> ilponrovrt, 5/10/2017 <br /> Department Director's Signature Date: <br /> 9E880A46c1-64498... <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 in/surgAgAtuiprds, specifications,and requirements: <br /> ((USA. COrvt }-& 5/10/2017 <br /> Office of the Risk Management Officer Date: <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the map.ni.cugifitliwIpy the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer �" ` °'� �°'� Date: 5/15/2017 <br /> �---7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and <br /> lebltvl' <br /> Office of the County Attorney jaLtA, Date:5/16/2017 <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 2/17 5 <br />