HomeMy WebLinkAboutR 2015-128-E AMS - Tile Restoration, Inc. for flooring restoration at 302 W. Tryon St., Central Rec & Parks Center DocuSign Envelope ID: D0190336-4C5C-477F-8902-D25F819470B6
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LI ORANGE COtATY-DEPARTMENT USE ONLY
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Devartment
PartyNendor Name:: Tile Restoration Inc Party/Vendor Contact Person: Brad Albritton, Vice President Contact
Phone: 866-3274600 PartylVendor Address: 119 East Main Street City Hookerton State: NC Zip: 28538
Department: Asset Management Services Amount: $6,125 Purpose: flooring restoration at 302 W ry anrt S reet,
Central Rec &.Parks Center(pgj -630000 Vendor# 6170�2 (N/A if new vendor)
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--- ----- ID Budget Code(s): 10240520
Vendor is a BOCC consultant? Yes E] NoZ Contract Type: (Check one) New Z Renewal ❑ Amendment El
Effective Date 02/02/2015 Approved by Board Yes[]Non Agenda Date:
This agreement is approved as to technical form and content:
D—Sign.d by:
Department Director's Signature g.#7A.-P"- -------- . .. .... ..--.... Date: 2/6/2015
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Information TechnoloLyies
(Applicable on y to hatrthvat,clsoftwarepiirci?ascry or agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications, and requirements:
C D...Si,n,d by:
Office of the Risk Management Officer 'US.(,6nWt6 Date: 2/8/2015
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Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
[—.Si,n.d by
Office of the Chief Financial Officer vu Date:
2/9/2015
Levi Services
This agreement is approved as to legal form and sufficiency:
.Si,n.d by
Office of the County Attorney .. Date: 2/9/2015
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Clerk to the Board
Received for record retention:
All DocusicyL,n contracts must be copied to Donna Lloyd upon completion Dollovd,(i�oi-a.rigecounkyjic.�-ov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 10/14 4