HomeMy WebLinkAboutR 2019-334 AMS - Triangle Landscaping Parking Deck DocuSign Envelope ID: E08ABF96-EFE8-442B-BAD8-3439881BAE81
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Triangle_Landsegping,Inc Party/Vendor Contact Person: Brad Lewis Contact Phone: 919-730-
5267 PartyNendor Address: PO Box 144 City Stem State:NC Zip: 27581 Department: AMS Amount: $1,940.00
Purpose: Parking Deck Steps 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
6/25/2019 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:
Department Director's Signature F&J& oft*aA. Date:6/13/2019
21 EFMACD454EF..
Agreements for emergency services or repair are not auDJccE Le dic aDDvt;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 Technololdes
(Applicable only to har&varelsoftware pzo-chases 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 iiocu5igned 4y AA .necflcations,and requirements:
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Office of the Risk Management Officer US& (,bV1n.t 6 Date:6/13/2019
7FDCF9176800498.
Financial Services
This instrument has been pre-audited in the mai Docusigned'by: - tl Government Budget and Fiscal Control Act:
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Office of the Chief Financial Officer 4E51S1ACC1409. Date: 6/13/2019
7D
Legal Services
This agreement is approved as to legal form Docusigned by:
Office of the County Attorney �66 K6�t ,fs Date:6/17/2019
EAA=ED8A8435..
Cleric to the Board
Received for record retention:
All Docusign contracts roust be copied to Sherri Ingersoll upon completion: singetsoll@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 121tS 4