R 2016-540-E AMS - Triangle Landscaping, Inc. for Homestead Road Sidewalk

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DocuSign Envelope ID: 536C9702-1997-4E72-A2EA-3629ACE96C23 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Triangle Landscaping Inc. Party/Vendor Contact Person: Brad Lewis Contact Phone: 919-730-5267 email trianglelandscapem,amt @gmail.com Party/Vendor Address: PO Box 144 City Stem State: NC Zip: 27581 Department: AMS Amount: $86,850 Purpose: Homestead Road Sidewalk Budget Code(s): 61370035-880000-10052 Vendor #62218 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New❑ Renewal ❑ Amendment ❑ Effective Date 9/26/2016 Approved by Board Yes❑No® Agenda Date:. This agreement is approved as to technical form and content: D Sg tlby. � n Department Director's Signature� Date: 9/19/2016 9 h956FfM-0B^ Information Technologies (Applicable only to hardware/sofrivare 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: D Sy tlby: Office of the Risk Management Officer 'USA, (a�6 Date:9/21/2016 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: D uSig..d by Office of the Chief Financial Officer Fr III° Date: 9/27/2016 Legal Services This agreement is approved as to legal form and sufficiency: Docu Signed by: Office of the County Attorney etiuvfs Date: 9/28/2016 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync..g ov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: i Revised 6/16 10