HomeMy WebLinkAboutR 2019-234 DEAPR - Bartlett Tree Blackwood Farm tree care program DocuSign Envelope ID:C5E COO 12-B28F-4D4C-A742-15C2F203520C
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Barlett Tree_Everts Party/Vendor Contact Person: Kevin Riegner Contact Phone: 919-687-
0776 Party/Vendor Address: 5808 Triangle Drive City Raleigh State:NC Zip:27617 Department:DEAPR Amount:
730 Purpose: Tree Maintenance Budget Code(s): 10515020 630000 20037 and 10510020 630000 Vendor # 63998
(N/A if new vendor) Vendor is a BOCC consultant? Yes❑ No® Contract Type: (Check one)New® Renewal
❑ Amendment ❑ Effective Date Mril I0,2019 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:
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DocuSigned by:
Department Director's Signature Pd1.W4 SfAG�. Date:4/11/2019
Agreements for emergency services c 911CFA1D507A405.. _ t 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 hardwarelsnfhvare purchases ar 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:
DocuSiggned by:
Office of the Risk Management Officer QU56 (,4�6 Date: 4/11/2019
7FDCF9176900498.
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 Office]CDOCUSIgnedby:
���, a.,I(/".. Date:4/14/2019
7NE5481ACC1409
Legal Services
This agreement is approved as to legal form and sufficiency:
,
DlocuSigned by:
Office of the County Attorne 6U), K6 uf5 Date:4/16/2019
EAA=ED8A8405..
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 12118 4