HomeMy WebLinkAboutR 2017-020-E AMS - Nice & Green Flooring Solutions, LLC for flooring restorations at southside County facilities DocuSign Envelope ID:9A212D25-37E3-46C7-8213-8F3F9F08256D
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Nice & Green Flooring Solutions, LLC Party/Vendor Contact Person: Chris Weske, Owner
Contact Phone: 336-404-9197 Party/Vendor Address: 1183 University Dr. #105-113 City Burlington State: NC Zip:
27215 Department: AMS Amount: $2,428.75 Purpose: Flooring restoration - south side county facilities 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 01/03/2017 Approved by Board
Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature P.# �O"`7"�°"' Date:12/28/2016
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Information Technologies
(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:
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Office of the Risk Management Officer Q�Sa �,Orvu t16 Date: 1/17/2017
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Financial Services
This instrument has been pre-audited in the ggctg j ji s 1 by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer ` °'u 0°'� Date: 1/17/2017
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form ap.d...seagtociv
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Office of the County Attorney Date: 1/18/2017
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.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 5