Orange County NC Website
Browse       Search
<br />Revised 06/21 <br /> <br />10 <br /> <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br /> <br />Party/Vendor Name: TRI Solutions, Inc. Party/Vendor Contact Person: Brad Albritton (brada@tilerestorationinc.com) <br />Contact Phone: 252.916.2045 Party/Vendor Address: 712 Summit Ave City Kinston State: NC Zip: 28501 Department: <br />AMS/PFAP Amount: $6074.00 Purpose: PFAP - Clean and install Epic Urethane Application on existing flooring Budget <br />Code(s): 34600020-880000-10076 Vendor # 65544 (N/A if new vendor) Vendor is a BOCC consultant? Yes No <br />Contract Type: (Check one) New Renewal Amendment Effective Date 8/2/2021 Approved by Board Yes No <br />Agenda Date: --- For Section XIV. c. contracts only, Approved by Board in Current FY Budget Yes No <br /> <br />This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this <br />project has not been initiated prior to execution of the a greement: <br /> <br />Department Director’s Signature ________________________________________ Date: ________ <br />Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have <br />already begun or been completed please briefly describe the nature of the emergency condition that was addressed: N/A <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of the Risk Management Officer___________________________________ Date: _________ <br /> <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br /> <br />Clerk to the Board <br /> <br />Received for record retention: <br />All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov <br />The following signature block is for hard copies only and is not required for Docusign contracts: <br /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br /> <br /> <br /> <br />DocuSign Envelope ID: A1DA9537-BCC7-4BD2-8400-476502F7FF00 <br />7/28/2021 <br />7/29/2021 <br />7/29/2021 <br />7/29/2021