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ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br />Department <br />Party/Vendor Name: Nice & Green Commercial Floor Care ServicesParty/Vendor Contact Person: James Barnett <br />Contact Phone: 336-380-4276Party/Vendor Address: 2108 Quakenbush RoadCity Snow CampState: NCZip: <br />27349Department: AMSAmount:$1,220.10Purpose: 106 E Margaret Ln Flooring-HVAC leakBudget Code(s): <br />10240520-620000Vendor # 64261(N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract <br />Type: (Check one) New Renewal Amendment Effective Date 09/17/2018Approved by Board Yes <br />No Agenda Date: <br />This agreement is approved as to technical form and content: <br />Department Director’s Signature ________________________________________ Date: ________ <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 />Office of the Risk Management Officer___________________________________ Date: _________ <br />Financial Services <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />Office of the County Attorney __________________________________________Date: ________ <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 10/17 (Mgr apprv 5k 6/18)4 <br />DocuSign Envelope ID: CA331D04-6C8D-47D8-AD64-26AD347F389C <br /> <br /> <br /> <br />