HomeMy WebLinkAboutR 2016-712-E AMS - Tile Restoration Inc. for Whitted Bldg. floor care DocuSign Envelope ID:69F93BE5-OFF1-412C-9392-F34F64FCO20C
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Tile Restoration Inc Party/Vendor Contact Person: Brad Albritton Contact Phone: 252-916-2045
Party/Vendor Address: 119 East Main Street City Hookerton State: NC Zip: 28538 Department: AMS Amount:
51250 Purpose: WHSC floor care Budget Code(s): 10240520-630000 Vendor # 61702 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑
Effective Date 01/03/2017 Approved by Board Yes❑Nor-1 Agenda Date:
This agreement is approved as to technical to ,agwplggpt:
Department Director's Signature �W Date: 12/20/2016
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:
''11i1
Office of the Risk Management Officer Pausa, (,6rvu,�16 Date:12/20/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the ggWred by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date: 12/29/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal to qffi ncy:
Office of the County Attorney ,66, r6ufs Date: 12/30/2016
EAA3D33ED8A8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.Rov
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 5