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DocuSign Envelope ID:25DDAD37-1080-45AF-B62A-4199E6B31 EA5 <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 Ouakenbush Road City Snow Camy State: NC Zip: <br /> 27349 Department: AMS Amount: $521.85 Purpose: Link project: Sinclair suite floor care Budget Code(s): <br /> 10240320-580000 Vendor# 64261 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract <br /> Type: (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 on <br /> Ds this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signature <br /> A&VU Vff* A, Date:4/17/2019 <br /> Agreements for emergency services or repair o#:su160d4W.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: This contract is routed post work as the realtor floor cleaning standard did not meet Orange County's <br /> Facilities Environment supervisor standard,and the work completion was needed before April 15th <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 by: <br /> Office of the Risk Management Officer 59USA, r,OV7A.t 6 Date:4/17/2019 <br /> 7FDCF9176800498... DS <br /> Financial Services �� <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fisca ontrol Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer [_6-ly 00.4140 Date:4/22/2019 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ocuSigned by: <br /> Office of the County Attorney 56,6, I°4h Date:4/22/2019 <br /> EAA3D33ED8A8465... <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 />