HomeMy WebLinkAboutR 2018-069 AMS - Tile Restoration Inc. Flooring ECCC-SHSCORANGE COUNTY—DEPARTMENT USE ONLY
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Department
Party/Vendor Name: Tile Restoration IncParty/Vendor Contact Person: Brad AlbrittonContact Phone: 252-747-
2821 Party/Vendor Address: 119 East Main Street City Hookerton State: NC Zip: 28538 Department: AMS
Amount: $17,170Purpose: Floor care at Southern Human Services and Efland Cheeks Community CentersBudget
Code(s): 10240520-630000Vendor # 61702(N/A if new vendor) Vendor is a BOCC consultant? Yes No
Contract Type: (Check one) New Renewal Amendment Effective Date 03/02/2018Approved by Board
Yes No Agenda Date:
This agreement is approved as to technical form and content:
Department Director’s Signature ________________________________________ Date: ________
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:
Office of theRisk Management Officer___________________________________ Date: _________
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer ____________________________________ Date: _________
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney __________________________________________Date: ________
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 10/17
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DocuSign Envelope ID: 11591086-0989-4E2D-8A03-5E4CDBBE1178