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DocuSign Envelope ID: 72076813C-558E-4137A-A1 EB-350FEF87C8A4 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> E <br /> Department <br /> Party/Vendor Name: Triangle Landscaping Inc. Party/Vendor Contact Person: Brad Lewis Contact Phone: <br /> 919.730.5267 Party/Vendor Address: PO Box 144 City Stem, State: NC Zip: 27581 Department: AMS Amount: <br /> 685.00 Purpose: 129 E King St Drainage Improvments Budget Code(s): 10240320-570000 Vendor#62218 (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date April 21,2016 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> , D S tl by. <br /> Department Director's Signature 7A,.- Date: 4/19/2016 <br /> 6EEIIIQ1�36'Fo3Se <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 /> QUSOL otlwuf{o 4/20/2016 <br /> Office of the Risk Management Officer)DU ne Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> E:1-N Sg tlby. <br /> Office of the Chief Financial Officer '�°41— Date: 4/20/2016 <br /> � <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D sy any: <br /> Office of the County Y Attorne rOy�s Date: 4/22/2016 <br /> �erz^awaeoav,aaa_ <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran e� coup nc.gov 1 <br /> i <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 /> i <br /> I <br /> Revised 1/16 4 <br />