HomeMy WebLinkAboutR 2016-747 AMS - Triangle Landscaping storm drain replacement DocuSign Envelope ID:966098F7-C590-43EE-BE72-33DC7E49FD65
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
PartyNendor Name: Triangle Landscaping Inc PartyNendor Contact Person: Brad Lewis Contact Phone: 919-730-
j PartyNendor Address: PO Box 144 City Stem State: NC Zip.,27581 Department: AMS Amount: 17&00.00
Purpose: Stormdrain Replacement Budget Code(s): 10240320-570000 Vendor # 62218 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑ Renewal ❑ Amendment ❑
Effective Date Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to techn'-`6 ocuSigned by:
Department Director's Signature V 740"kr"Ou Date: 9/6/2016
1P9E88CA4BCF64408
Information Technolocies
(Applicable only to hardware/software purchases or related services)This agreemcnt has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Mana fence lent
This agreement is approved for sufficiency of[&&�"�ocusignea a"y:'A~.A-,specifications,and reciuircmcnts:
�I'1n.t,{�6
Office of the Risk Management Officer_ Date: 91U2016
7FDCF917e800498...
Financial Services
This instrument has been pre-audited in Docusigned by: "te Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date: 9/7/2016
704E5181ACC1409...
Legal Services
This agreement is approved as to I1EAA3D3aED&AW5_._-DocuSigned my:`l 5 lency:
Office of the County Attorney 6L W Pkk Date: 9/7/2016
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Cleric to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dol1oydaoranF_ecountvnc.aov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 6/16 5