Orange County NC Website
DocuSign Envelope ID: 117C8E54-10CE-4683-B69A-59C65B9D939B <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Triangle Landscaping, Inc. Party/Vendor Contact Person: Brad Lewis Contact Phone: 919- <br /> 730-5267 Party/Vendor Address: PO Box 144 City Stem State: NC Zip: 27581 Department: AMS Amount: <br /> $10.155.50 Purpose: install vents at 129 E King Street Budget Code(s): 61370035-892000-10001 Vendor#62218 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ <br /> Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical forth and content: <br /> 5i;uSigned by: <br /> Department Director's Signature 7 Date: 218/2016 <br /> 9E880A46CF64498... <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> DocuSigned""by: <br /> ''11i1 <br /> Office of the Risk Management Officer rausa, (,6rvu,�16 Date: 2/18/2016 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Officer �"N 0°1�. Date: 2/21/2016 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form mj���pcy: <br /> Office of the County Attorney ,�6 — Date: 2/22/2016 <br /> EAA3D33ED8A8466... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollod(cr�,oran eg counwc. og_v <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 1/16 5 <br />