R 2014-612 AMS - Triangle Landscaping Inc. for parking lot repairs

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DocuSign Envelope ID:2C1 FDF84-297F-4DF6-9639-6411484C13FC ORANGE COUNTY—DEPARTMENT USE ONLY Department 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:Asset Management Services Amount: 4100 Purpose: Parking Lot repairs @ 306 Revere Road per Estimate 225 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 Approved by Board Yes❑ No[:] Agenda Date: This agreement is approved as to tech ' b&c> naawd:content: Department Director's Signature 7ofwp0o1,, Date:12/22/2014 9@880,-48CPF 4 ... 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: DocuSignAed""by: ''� Office of the Risk Management Officer PCs& 66vvt,e 6 Date: 12/22/2014 7FDCF9176800498... Financial Services This instrument has been pre-audited in w uired by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer Date: 12/23/2014 F98Z Lezal Services This agreement is approved as to 1 Wg.W, :sufficiency: Office of the County Attorney Jb r6kxfs Date: 12/30/2014 EAA3D33EDSA8465... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountyne.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 10/14 4