HomeMy WebLinkAboutR 2016-270-E AMS - Nice & Green Flooring Solutions, LLC for flooring restoration in various locations DocuSign Envelope ID: D7239893-AF36-4784-B5F7-92811A2DB4CD
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Nice & Green Flooring Solutions, LLC Party/Vendor Contact Person: Chris Weske Contact
Phone: 336-404-9197 Party/Vendor Address: 1183 University Drive,#105-113 City Burlington State:NC Zip: 27215
Department:AMS Amount: $11,656.80 Purpose: Flooring restoration in various locations Budget Code(s): 10240520-
630000 Vendor#60940 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check
one) New ® Renewal ❑ Amendment ❑ Effective Date 05/05/2016 Approved by Board Yes❑ No❑
Agenda Date:
This agreement is approved as to technical to �&PQPAtny:
Department Director's Signature 7 Date: 5/13/2016
9E880A46CF64498...
Information Technolosies
(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 Officer Date:
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications,and requirements:
Docu5igned""by:
''1111
Office of the Risk Management Officer
Fausa, rv�c,�16 Date: 5/13/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manned C 1 he 4Yby the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date: 5/27/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal forma ;__i vsysiv
Office of the County Attorney rb�� Date: 5/27/2016
33ED8A8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.plc.gov
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 1/16 4