HomeMy WebLinkAboutR 2019-164 Planning - Foster Lake Management Lake Orange Herbicide DocuSign Envelope ID:6ED905AB-BA4C-48EB-89D3-4675BD9DEFA1
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Foster Lake &Pond Management, Inc. Party/Vendor Contact Person: Patricia Salevan Contact
Phone: 919-772-8548 Party/Vendor Address: 9020 White Oak Road City Garner State:NC Zip: 27529 Department:
Planning Amount: $2,470.00 Purpose: Control of nuisance woody vegetation at Lake Orange dam Budget Code(s):
10695020-720013 Vendor# 64409 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract
Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date March 15,2019 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:
�' � 3/12/2019
Department Director's Signature EIE a `� 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:
QGs�
3/13/2019
Office of the Risk Management Officer[ 5,-.,,,.,, 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 OfficerC i+c�i�oa_14W ° Date:3/13/2019
Legal Services
This agreement is approved as to legal form and sufficiency:
' ° 3/13/2019
Office of the County Attorney[j2`_1 ,.mr5 Date:
`J �zr��r,�cv;r.irs
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 4