HomeMy WebLinkAboutR 2015-124-E AMS - Tile Restoration Inc. for floor restoration at SHSC DocuSign Envelope ID: DE1 D8FF0-BDA1-4F5A-AB39-D3DOD4764DE6
DS
LI ORANGE COUNTY-DEPARTMENT USE ONLY
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Department
Party/Vendor Name: Tile Restoration Inc Party/Vendor Contact Person: Brad Albritton, Vice President Contact
...... ------- .Albritton
Plione: 866-327-4600 Party[Vendor Address: 119 East Main Street City flookerton State: NQ Zip: 28538
Department: Asset Management Services amount: 1 d 570 Purpose: flooring restoration at Southern I lurnan Services
Center er proposal Budget Code(s): 10240520-630000 Vendor 9 61702 (N/A if new vendor) Vendor is a BOCC
consultant? Yes E] NoZ Contract Type: (Check one) New Z Renewal n Amendment El Effective Date
02/02/2015 Approved by Board Yes❑ No[:] Agenda Date:
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This agreement is approved as to technical form and content:
DocuSigned by
Department Director's Signature Date: 2/2/2015
Information Technologies
(AI)pliciibleoti4i,to,hai-d,ii,ao-(-,I.�,o wrelnirchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer ..................... Date:
Risk Management
'['his agreement is approved for sufficiency of insurance standards,specifications,and requirements:
DocuSignetl by.
Office of the Risk Management Officer C"6 Date: 2/4/2015
G'IM8 ..........................
Financial Services
'Mis instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
DS,gn,d by 2/4/2015
O,ffice of the Chief Financial Officer au WVJ46v, Date:
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'I-232DFFC2CFA247B
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney Date:-2/5/2015
EAA3D33E D8A84fi5...
Clerk to the Board
Received for record retention:
All Docusign contracts must he copied to Donna Lloyd Upon completion @ t)oll_ovd(ii)qLIngccoqntviic.0, v
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
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Revised, 10114 4