HomeMy WebLinkAboutR 2018-124 Planning - JB Tree Service Efland Sewer system tree removalRevised 10/17 5
ORANGE COUNTY—DEPARTMENT USE ONLY
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Department
Party/Vendor Name: JB Tree ServiceParty/Vendor Contact Person: Jeff BrackenContact Phone: 919-602-0946
Party/Vendor Address: 7410 NC Hwy 86 NorthCity HillsboroughState: NCZip: 27278Department: Planning and
InspectionsAmount: $999.00Purpose: Tree Removal from Efland Sewer Easement at Efland Cedar Grove Road
Budget Code(s): 51360120-571000Vendor # 52882(N/A if new vendor) Vendor is a BOCC consultant? Yes
No Contract Type: (Check one) New Renewal Amendment Effective Date April 16, 2018Approved
by Board Yes No Agenda Date:
This agreement is approved as to technical form and content:
Department Director’s Signature ________________________________________ Date: ________
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:
Office of the Risk Management Officer___________________________________ Date: _________
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer ____________________________________ Date: _________
Legal Services
This agreement is approved as to legal form and sufficiency:
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:
Office of the Clerk to the Board __________________________________________Date:_________
DocuSign Envelope ID: 1428BDDA-8FA0-4081-BF73-3D02B42684EB