HomeMy WebLinkAboutR 2014-466 AMS - Tile Restoration, Inc. for WHSC initial sealing process EpdvTjho!Fo4 rpgf!,E;!B63G1C35.9141.51 EG9:37.4G1 4323BDl 35
ORANGE COUNTY-DEPARTMENT USE ONLY
NOT A CONTRACT EXHIBIT OR ATTACHMENT
Department
Party/Vendor Name: Tile Restoration, Inc. Party/Vendor Contact Person: Brad Albritton Contact Phone: 252-916-
2045 Party/Vendor Address: 119 East Main Street, PO Box 160 City Hookerton State: NC Zip: 28538 Department:
Asset Management Services Amount: 4580 Purpose: WHSC Initial Sealing Process Budget Code(s): 61370035-
880000-10028 Vendor#61702 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type:
(Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date 08/22/2014 Approved by Board Yes❑No[-]
Agenda Date:
This agreement is approved as to technical form and content:
E�;uSigned by:
Department Director's Signature 74 v,.p" Date: 8/18/2014
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Director of Information Technology Date:
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
DocuSigned by:
Office of Risk Management gus& CbVta,t b Date: 8/18/2014
'I-7FDCF9176800498
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
DocuSigned by:
C_�
Office of the Chief Financial Office � -,b Date: 8/25/2014
2F982EC44C2C444...
Lejjal Services
This agreement is approved as to legal fonn and sufficiency:
DocuSigned by:
Office of the County Attorney �66 Oufs Date: 8/26/2014
Clerk to the Board
Received for record retention:
DocuSigned by:
EV blala,A. 15A.�t V 8/26/2014
Office of the Cleric to the Board Date:
7E61 B3FC087B4DE..
Revised 7/14 4