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DocuSign Envelope ID: F521C9FC-AF1E-46C1-BD79-B6069BD1C2DD <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: TRI Solutions Inc dba Tile Restoration Party/Vendor Contact Person: Brad Albritton Contact <br /> Phone: 252-916-2045 Party/Vendor Address: 119 East Main Streeet City Hookerton State: NC Zip: 28538 <br /> Department:AMS Amount: $4.800 Purpose: Seymour Flooringr e-coat Budget Code(s): 10240520-630000 Vendor# <br /> 65544 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New <br /> Renewal❑ Amendment ❑ Effective Date 02/06/2019 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signature PbOoJA. Date:2/6/2019 <br /> Agreements for emergency services or repair k__?IEF ACD454EF.___above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that was <br /> addressed: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of;--- y,1 r 1- specifications,and requirements: <br /> � 2/6/2019 <br /> Office of the Risk Management Officer �$� L,QV1n.�{�b_ Date: <br /> 7FDCF9176800498. Ir <br /> pSFinancial Services F <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer Date: 2/11/2019 <br /> 704E5981ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal,"---ocuSigned by: <br /> Office Office of the County Attorney �EAAM3aEMAW5_ <br /> 6LW � kku s Date:2/11/2019 <br /> . <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 12/18 4 <br />