HomeMy WebLinkAboutR 2016-748 AMS - Triangle Landscaping EMS concrete repair DocuSign Envelope ID: E7CD6EF8-BFD4-4232-B1F7-CA4E6612A1AB
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Triangle Landsca in Inc Party/Vendor Contact Person: Bract Lewis Contact Phone: 919-730-
5267 PartyNendor Address: PO Box 144 City Stem State: NC Lip: 27581 Department: AMS Amount: $5785.00
Purpose:EMS Concrete Repair 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 technic-- — ., ` '^~*'
gr l�Ia :J�iCAOCF64408 signed by:
Department Director's Signature mi 1. — Date: g9/6/2016
...
Information Technologies
(Applicable only to hardwarelsoftware 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
'Phis agreement is approved for sufficiency of id;n us gtnniinrtiQ,Specifications,and requirements:
Do
Office of the Risk Management Officer &4L r"_ A6 Date:9/6/2016'
7FDCF9176800498...
Financial Services
This instrument has been pre-audited ir. i-ocusigned ayi--'--""--the 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 le oocuSigned by:_ Icy:
Office of the County Attorney� ��EAAM3aEMAW5
_Date: 9/7/2016
.
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecounwe_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:
Revised 6/16 5