HomeMy WebLinkAboutR 2019-069 AMS - TRI Solutions Seymour Center re-coat DocuSign Envelope ID: F521C9FC-AF1E-46C1-BD79-B6069BD1C2DD
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: TRI Solutions Inc dba Tile Restoration Party/Vendor Contact Person: Brad Albritton Contact
Phone: 252-916-2045 Party/Vendor Address: 119 East Main Streeet City Hookerton State: NC Zip: 28538
Department:AMS Amount: $4.800 Purpose: Seymour Flooringr e-coat Budget Code(s): 10240520-630000 Vendor#
65544 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New
Renewal❑ Amendment ❑ Effective Date 02/06/2019 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work on
this project has not been initiated prior to execution of the agreement:
DocuSigned by:
Department Director's Signature PbOoJA. Date:2/6/2019
Agreements for emergency services or repair k__?IEF ACD454EF.___above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that was
addressed:
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of;--- y,1 r 1- specifications,and requirements:
� 2/6/2019
Office of the Risk Management Officer �$� L,QV1n.�{�b_ Date:
7FDCF9176800498. Ir
pSFinancial Services F
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 Date: 2/11/2019
704E5981ACC1409.
Legal Services
This agreement is approved as to legal,"---ocuSigned by:
Office Office of the County Attorney �EAAM3aEMAW5_
6LW � kku s Date:2/11/2019
.
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 12/18 4