HomeMy WebLinkAboutR 2017-053-E AMS - Triangle Landscaping, Inc. for Homestead Road Sidewalk Storm Drain Repairs DocuSign Envelope ID: FBBAAB56-EF88-48BC-8A7D-E897492F5CCB
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Triangle Landscaping,Inc./trianglelandscapemgmt @gmail.com Party/Vendor Contact Person:
Brad Lewis Contact Phone: 919-730-5267 Party/Vendor Address: PO Box 144 City Stem State: North Carolina
Zip: 27581 Department: AMS Amount: NTE$3,500.00 Purpose: Homestead Road Sidewalk Storm Drain Repairs
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 1/25/17
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 241 °°"P Date: 1/24/2017
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:
r—DOCUSignetl by:
Office of the Risk Management Officer a(sa C°wu}Io Date: 1/26/2017
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 Officer1 Date: 2/2/2017
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Legal Services
This agreement is approved as to legal form and sufficiency:
�—DOOsigetl by:
Office of the County Attorney 'i0tA" ros Date: 2/6/2017
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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:
Revised 6/16 5
DocuSign Envelope ID: FBBAAB56-EF88-48BC-8A7D-E897492F5CCB
Office of the Clerk to the Board Date:
Revised 6/16 6