HomeMy WebLinkAboutR 2014-576 AMS - FloorChem, Inc. to install opoxy flooring at the jail $12,767DocuSign Envelope ID: 332006D6 -447D- 4529- A8C4- 6OE3494C993D
ORANGE COUNTY — DEPARTMENT USE ONLY
Department
Party/Vendor Name: F1oorChem, Inc Party/Vendor Contact Person: Anita M. Brack, Owner Contact Phone: 919 -854-
9776 Party/Vendor Address: 200 Powell Drive, Ste 103 City Raleigh State: NC Zip: 27606 Department: Asset
Management Services Amount: $12,767 Purpose: Install opoxy flooring at t the jail Budget Code(s): 10240320 - 570001
Vendor # 57002 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)
New ® Renewal ❑ Amendment ❑ Effective Date December 1, 2014 Approved by Board Yes❑ No❑
Agenda Date:
This agreement is approved as to technical,gmg"pntent:
,//
Department Director's Signature 5; '.110°f111 Date: 12/6/2014
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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 Chief Information
Risk Management
Date:
This agreement is approved for sufficienc ig,%vi g ""g„s''ta�ndards, specifications, and requirements:
ausa, r,6vvte tt0 12/8/2014
Office of the Risk Management Officer Date:
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Financial Services
This instrument has been pre - audited in maniux�,quired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer I ,)_ uVR Date: 12/8/2014
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Legal Services
This agreement is approved as to ^ Aol: sufficiency:
Office of the County Attorney �b Oufs Date: 12/8/2014
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran eg countync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Cleric to the Board Date:
Revised 10/14 4