HomeMy WebLinkAboutR 2016-530-E AMS - Carolina Cleaning Associates for cleaning services DocuSign Envelope ID:0182CE2A-782E-419C-BBAF-41AC529B06BF
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Carolina Cleaning Associates Party/Vendor Contact Person: Joe Bumgarner, Jr, Business
Manager Contact Phone: 919-880-7870 Party/Vendor Address: 348 Elizabeth Brady City Hillsborough
State: NC Zip: 27278 Department: AMS Amount: $35,952.64+Emergency Callback Purpose: Cleaning needs at
various county locations Budget Code(s): 10240520-630000 Vendor# 14996 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ Effective
Date 09/13/2016 Approved by Board Yes❑Nor-1 Agenda Date:
This agreement is approved as to technical form and content:
Docu Signed by:
Department Director's Signature +ti Date: 9/9/2016
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:
DocuSigned""by:
''11i1
Office of the Risk Management Officer rausa, (,6rvu,�16 Date: 9/9/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
DocuSigned by:
Office of the Chief Financial Officer ([_ !N Date: 9/12/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form 511, Niqlafy:
Office of the County Attorney ,66, r6ufs Date: 9/16/2016
EAA3D33ED8A8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkorangecount.nic.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 6/16
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