HomeMy WebLinkAboutR 2016-540-E AMS - Triangle Landscaping, Inc. for Homestead Road Sidewalk DocuSign Envelope ID: 536C9702-1997-4E72-A2EA-3629ACE96C23
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Triangle Landscaping Inc. Party/Vendor Contact Person: Brad Lewis Contact Phone: 919-730-5267
email trianglelandscapem,amt @gmail.com Party/Vendor Address: PO Box 144 City Stem State: NC Zip: 27581
Department: AMS Amount: $86,850 Purpose: Homestead Road Sidewalk Budget Code(s): 61370035-880000-10052 Vendor
#62218 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New❑ Renewal
❑ Amendment ❑ Effective Date 9/26/2016 Approved by Board Yes❑No® Agenda Date:.
This agreement is approved as to technical form and content:
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Department Director's Signature� Date: 9/19/2016
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Information Technologies
(Applicable only to hardware/sofrivare 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:
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Office of the Risk Management Officer 'USA, (a�6 Date:9/21/2016
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 Fr III° Date: 9/27/2016
Legal Services
This agreement is approved as to legal form and sufficiency:
Docu Signed by:
Office of the County Attorney etiuvfs Date: 9/28/2016
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync..g ov
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 6/16 10