HomeMy WebLinkAboutR 2019-659 AMS - Triangle Landscaping Revere Road parking lot DocuSign Envelope ID:AC67BBAB-C829-4786-8FAF-2342D3D69B6C
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:
5 920.00 Purpose: Revere Rd Parking Lot 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 9/30/2019 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:
�DLocu''S..igned by:
Department Director's Signature �r - kmA Date: 9/23/2019
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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 inst Docusigned by: ;ifications,and requirements:
Office of the Risk Management Officer [&a (h�b 7FDCF9176900498. Date: 9/23/2019
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: Docu5igned by:
Office of the Chief Financial Officer 1),N ' '� Date:9/24/2019
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Legal Services
This agreement is approved as to legal form Docusigned by:
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Office of the County Attorney Date:9/25/2019
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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
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