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HomeMy WebLinkAboutR 2018-576 Planning - Wellsmont Lake Orange MowingRevised 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.Contact Phone: 919-810-6282Party/Vendor Address: 1005 Dimmocks Mill RoadCity HillsboroughState: NCZip: 27278 Department: PlanningAmount: $1,150.00Purpose: Fall 2018 and Spring 2019 Mowing of Lake Orange DamBudget Code(s): 10695020-720013Vendor # 64686(N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date September 21, 2018Approved by Board Yes No Agenda Date: N/A 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: 338A0B8C-3AC3-4BAB-B6D6-CAFDD9447473