HomeMy WebLinkAboutR 2017-658 AMS - Triangle Landscaping fuel station poleRevised 2/17 6
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: $1,130.00 Purpose: Install 4" steel pole for security
camera at the AMS North Fuel station Budget Code(s): 61370035-880000-30001 Vendor # 62218 (N/A if new
vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal
Amendment Effective Date October 30, 2017 Approved by Board Yes No Agenda Date:
This agreement is approved as to technical form and content:
Department Director’s Signature ________________________________________ Date: ________
Asset Management
(Applicable only to construction contracts) This agreement has been reviewed and is approved as to construction
services content and specifications:
Office of the Asset Management Director__________________________________ 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:
DocuSign Envelope ID: 1521D402-2DD6-4112-9C1D-31D6228F9535