HomeMy WebLinkAboutR 2016-684-E AMS - Triangle Landscaping, Inc. for water valve box extensions, concrete donut rings DocuSign Envelope ID: CEBE392A-5867-4D11-B672-64E40DB4322F
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Triangle Landscaping Inc Party/Vendor Contact Person: Brad Lewis
(h•ianglelandscapemgmt n,gmail.com) Contact Phone: 919.730.5367 Party/Vendor Address: PO Box 144 City
Stem State: NC Zip: 27581 Department: AMS Amount: 1350.00 Purpose: Water Valve Box extensions and
concrete donute rings 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 11/21/16 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 °°fi"°" Date: 12/1/2016
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Information Technologies
(Applicable only to hardtinare/sofAvare 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 Office &OL Date: 12/2/2016
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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 "� Date: 12/2/2016 �
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Legal Services
This agreement is approved as to legal form and sufficiency:
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Office of the Count Attorney �0L, rO�ts Date: 12/2/2016
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd cr oran_ecoun• nc.gov
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The following signature block is for hard copies only and is not required for Docusign contacts:
Revised 6/16 5