HomeMy WebLinkAboutR 2019-296 AMS - Triangle Landscaping Library brick pavers DocuSign Envelope ID:A52074F8-1A26-49A6-94DC-2DE644DCF731
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Triangle Landscaping, Inc Party/Vendor Contact Person: Brad Lewis Contact Phone: 919-730-
5267 Party/Vendor Address: PO Box 144 City Stem State: NC Zip: 27581 Department: AMS Amount: $975.00
Purpose: LibrM pavers 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
5/3/2019 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:
DocuSigned by:
�� Off),4aaL 5/23/2019
Department Director's Signature 21EFMACD454EF.. 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 in-----e"usignea by: --�^cifications,and requirements:
a
Office of the Risk Management Officer Usa LQ6 Date:5/23/2019
7FOCF9178800495.
Financial Services
This instrument has been pre-audited in the manner DocuSigned by: - —ovemment Budget and Fiscal Control Act:
14N11.4/Office of the Chief Financial Officer 4 � Date:S/23/2019
7D4E51S1ACC1409. — -
Legal Services
This agreement is approved as to legal form Docusigned by:I�,
�b� �6� 5/23/2019
Office of the County Attorney EAA=ED8A8435.. 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 4