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DocuSign Envelope ID:A5CD2F13-3EDF-4120-9AC3-113CDEF7D688 <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: $5392.85 Purpose: Flooring - multiple facilities Budget Code(s): 10240520- <br /> 630000 Vendor# 64261 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: <br /> (Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ <br /> Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> PbV*aln. 2/8/2019 <br /> Department Director's Signature 'J Date: <br /> Agreements for emergency services or repai 21EF373ACD454EF.. 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 <br /> was 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-�'DocuSigned by, �' "ls,specifications,and requirements: <br /> Office of the Risk Management Officer gusa (AV1n. 6 Date: 2/10/2019 <br /> 7FDCF9176800498. <br /> D.S <br /> Financial Services r <br /> This instrument has been pre-audited in the manner required by the Local Government Budges anu Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer 2/18/2019 <br /> '� '� Date: <br /> 7NE5181Ar-C1400- <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiencv: <br /> DocuSigned by: <br /> Office of the County Attorney �66A, K6kkY S Date: 2/19/2019 <br /> EAA3D33ED8AW5.. <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 <br /> 8 <br />