HomeMy WebLinkAboutR 2019-324 AMS -Triangle Landscaping DSS parking lot striping DocuSign Envelope ID:29E72DFF-OA14-48A9-832F-8E83F3425814
ADS Ds
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Triangle Landscaping Party/Vendor Contact Person: Brad Lewis Contact Phone: 919-
Party/Vendor Address: PO Box 144 City Stem State: NC Zip: 27581 Department: DSS Amount: $2420 Purpose:
Striping&Signs at Hillsborough Commons Budget Code(s): 10400120-629000 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 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:
Oocusigned by:
'L Department Director's Signature N �bS�btn. Date:6/5/2019
Agreements for emergency services or repair a DAPE198A836455 bove 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:
Docusigned by:
6 , b�US& ('
Office of the Risk Management Officer Date: 6/5/2019
7FDCF9176900498.
DS
Financial Services r r
This instrument has been pre-audited in the rDDocus fined by �"',1,P T,ocal Government Bu4,..-..d Fiscal Control Act:
Office of the Chief Financial Officer 41.44� Date: 6/6/2019
704E51S1ACC1469.
Legal Services
This agreement is approved as to legal form and sufficienev:
Docusigned by:
Office of the County Attorney �bLW Pkk�s Date:6/6/2019
EAA3033EMAW5..
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