HomeMy WebLinkAboutR 2018-265 Planning - Wellsmont Landscaping SedStruct3Revised 10/17(Mgr apprv 5k 6/18)4
ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: Wellsmont LandscapingParty/Vendor Contact Person: Doug Malinowski, Jr., OwnerContact
Phone: 919-810-6282Party/Vendor Address: 1005 Dimmocks Mill RoadCity HillsboroughState: NCZip: 27278
Department: PlanningAmount: $2,235.00Purpose: Mowing of dam and removal of trees at Sediment Control
Structure No. 3 Budget Code(s): 10695020-720013 Vendor # 64686 (N/A if new vendor) Vendor is a BOCC
consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date July 10,
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 Sherri Ingersoll upon completion: singersoll@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: 23B19021-F3AC-4D83-B621-FD21A11682EC