HomeMy WebLinkAboutR 2019-558 OCPT - Triangle Landscaping Simme Seat installationpdf DocuSign Envelope ID:49B6796B-1634-4210-BE70-3ADC8E4BA5D3
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: Orange County
Transportation Services Amount: $3,600 Purpose: Create bus stop bench areas and install benches per manufacturer
instructions, any applicable local government permitting, and NCDOT Encroachment Agreement at two bus stops:
1.)Bus Stop by Hwy 70 & Ashbury Blvd 2.)Bus Stop at Mebane City Hall. Budget Code(s): 630000/10435020
Vendor# 62218 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)
New ® Renewal ❑ Amendment ❑ Effective Date 08/13/2019 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 II � Date: 8/15/2019
722E5DDOAB25490 .
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 insuranc Docusigned by: ttions,and requirements:
�U$66 (, 6 8/20/2019
Office of the Risk Management Officer Date:
7F6CF9178800498.
Financial Services
This instrument has been pre-audited in the manner re DocuSigned by: -mment Budget and Fiscal Control Act:
4 8/20/2019
Office of the Chief Financial Officer 7DaE5aa1ACC14M. Date:
Legal Services
This agreement is approved as to legal form and suffi DocuSignedby:
1t'2,1DtC'S49015549rA!FG+.In.5
Office of the County Attorney Date: 8/20/2019
..
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