HomeMy WebLinkAboutR 2016-220-E AMS - Triangle Landscaping, Inc. for 129 E. King St. drainage improvements DocuSign Envelope ID: 72076813C-558E-4137A-A1 EB-350FEF87C8A4
ORANGE COUNTY-DEPARTMENT USE ONLY
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Department
Party/Vendor Name: Triangle Landscaping Inc. Party/Vendor Contact Person: Brad Lewis Contact Phone:
919.730.5267 Party/Vendor Address: PO Box 144 City Stem, State: NC Zip: 27581 Department: AMS Amount:
685.00 Purpose: 129 E King St Drainage Improvments Budget Code(s): 10240320-570000 Vendor#62218 (N/A if
new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑
Amendment ❑ Effective Date April 21,2016 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
, D S tl by.
Department Director's Signature 7A,.- Date: 4/19/2016
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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:
QUSOL otlwuf{o 4/20/2016
Office of the Risk Management Officer)DU ne Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
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Office of the Chief Financial Officer '�°41— Date: 4/20/2016
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Legal Services
This agreement is approved as to legal form and sufficiency:
D sy any:
Office of the County Y Attorne rOy�s Date: 4/22/2016
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran e� coup nc.gov 1
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The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
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Revised 1/16 4