HomeMy WebLinkAboutR 2014-574 AMS - Tile Restoration, Inc. for New Courthouse flooring $8,610DocuSign Envelope ID: 531A624F -5F3E- 4966- AE71- AC91280DFFCE
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: 8610 Purpose: New Courthouse floorine Budget Code(s): 10240520- 630000
Vendor # 61702 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)
New ® Renewal ❑ Amendment ❑ Effective Date 12/01/2014 Approved by Board Yes❑ No❑ Agenda
Date:
This agreement is approved as to technical form and content:
5y; uSigned by:
Department Director's Signature �O'"it3Oai Date: 12/6/2014
9E880A46CF64498...
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
Risk Management
Date:
This agreement is approved for ���3�'', ""of''insurance standards, specifications, and requirements:
Qus r,6vvte tt0 12/8/2014
Office of Risk Management Date:
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Financial Services
This instrument has been pre- audited i D m#gN cpquired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer UA V.R ti Date: 12/8/2014
2F982EC44C2C444...
Legal Services
This agreement is approved as to,"fcmi.aisO sufficiency:
Office of the County Attorney 1°e�t,vfs J Date: 12/8/2014
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board
Revised 7/14 4
Date: