HomeMy WebLinkAboutR 2017-201-E AMS - Triangle Landscaping, Inc. prepare area at Seymour Center for electric car charging station DocuSign Envelope ID: 3A977045-E1DD-4620-A39B-246CA4D8E573
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Triangle Landscaping, Inc Party/Vendor Contact Person: Brad Lewis
(trianglelandscapemgmt @gmail.com) Contact Phone: 919.730.5267 Party/Vendor Address: PO Box 144 City
Stem State: NC Zip: 27581 Department: AMS Amount: $4,715.00 Purpose: Dig trench 50'long by 20" deep and
backfill after conduit is installed, remove curb, install 55x3' concrete pad, seed and straw for electric car charging
station at the Seymour Center Budget Code(s): 10240020-680090 (Duke Energy EV Grant) Vendor# 62218 (N/A
if new vendor) Vendor is a BOCC consultant? Yes ❑No Contract Type: (Check one)New® Renewal❑
Amendment ❑ Effective Date 5/25/17 Approved by Board Yes❑No Agenda Date:
This agreement is approved as to technical form and content:
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fly paw 5/30/2017
Department Director's Signature moo sa Date:
Asset Management
(Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction
services content and specifications:
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Office of the Asset Management Director,2m w Date: 5/30/2017
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications,and requirements:
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Qlasa(ork.ito 5/31/2017
Office of the Risk Management Office ,„c„,,68ee,,,g Date:
Financial Services
—.e 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: 6/1/2017
Legal Services
This agreement is approved as to legal form and sufficiency:
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)o1uA,roknts 6/1/2017
Office of the County Attorney Date:
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 2/17 6
DocuSign Envelope ID: 3A977045-E1DD-4620-A39B-246CA4D8E573
Office of the Clerk to the Board Date:
Revised 2/17 7