HomeMy WebLinkAboutR 2019-057 Planning - Douglas Malinowski Lake Orange maintenance DocuSign Envelope ID: E39A7F34-1956-4F98-91AB-121A6B293FOE
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Douglas P. Malinowski Party/Vendor Contact Person: Douglas P. Malinowski Contact
Phone: 919-810-6282 Party/Vendor Address: 1005 Dimmocks Mill Road City Hillsborough State:NC Zip:27278
Department: Planning Amount: $9,967.50 Purpose: Selective Vegetation Management and Slope Stabilization at
Lake Orange Dam Budget Code(s): 51360120-571000 Vendor#64686 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date
February 1,2019 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work
on this project has not been initiated prior to execution of the agreement:
$i° "" 2/4/2019
Department Director's Signature Date:
Agreements for emergency services or repair are not subject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that
was addressed:
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:
5g "Y Q�Sa 6
Office of the Risk Management Officer, ovtu{fo 2/4/2019
Date:
soeFs�ieeeeas_.
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
„y Office of the Chief Financial Officer Date: 2/4/2019
Legal Services
This agreement is approved as to legal form and sufficiency:
2/4/2019
Office of the CountyAttorney L xw,y��« 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:
Revised 12/18
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