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DocuSign Envelope ID:2C30D5E1-82D4-4E39-A9D4-6767C1EDB82C <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Nice & Green Commercial Floor Care Services Party/Vendor Contact Person: James Barnett <br /> Contact Phone: 336-380-4276 Party/Vendor Address: 2108 Quakenbush Road City Snow Camp State: NC Zip: <br /> 27349 Department: AMS Amount: $2210.40 Purpose: Churton Grove flooring - ES Budget Code(s): 10240320- <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 Approved by Board Yes❑ No❑ Agenda <br /> 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 /> UocuSigned by: <br /> Department Director's Signature �� 06V*i� Date: 2/13/2019 <br /> Agreements for emergency services or repair arse not sunjeci to the 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 in—r—P-n-1—de enecifications,and requirements: <br /> Docusigneed_by: <br /> .�t <br /> Office of the Risk Management Officer aUS& rh rmb Date:2/13/2019 <br /> 7FDCF91769004M. D.S <br /> Financial Services Ir <br /> F <br /> This instrument has been pre-audited in the rnnnnPr ran„irarl by the r nf-al Government Budget and Fiscal Control Act: <br /> Oocu Sig ned by: <br /> Office of the Chief Financial Officer ���- Date:2/13/2019 <br /> 7NE5181A=409 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> UocuSigned by: <br /> Office of the County Attorney �6�Jn. Kkvl5 Date: 2/14/2019 <br /> EAA3033E08A84S5.. <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 />