Orange County NC Website
DocuSign Envelope ID:5B386AB2-DFFC-44CF-8E5C-9EB5B0543F87 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Nice and Green Commercial Floor Care Services Party/Vendor Contact Person: JP Barnett <br /> Contact Phone: 336-380-4276 Party/Vendor Address: 2108 Quakenbush Road City Snow Camp State: NC Zip: <br /> 27349 Department: AMS Amount: $1,320.00 Purpose: HR Suite floor, Link Budget Code(s): 10240520-630000 <br /> Vendor# 64261 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date 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 121 <br /> � P6V�t0 Date.3/13/2019 <br /> Agreements for emergency services or repair_7 .u jD ­v 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 insurance standards,specifications,and requirements: <br /> DocuSigned <br /> _by: <br /> .�t <br /> Office of the Risk Management Officer aUS66 �,DV1n.t,{�6 Date:3/13/2019 <br /> 7FOCF9176900498. DS <br /> Financial Services r <br /> This instrument has been pre-audited in tl--pocu5igned by,,,-o.1 1—*1-e Local Government Budget ana Fiscal Control Act: <br /> Office of the Chief Financial Officer 41.&1 " Date:3/13/2019 <br /> 7D4E51S1Ar-C1400- <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney , 66A, K6kY S Date:3/14/2019 <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 4 <br />