R 2016-648-E DEAPR - Triangle Landscaping, Inc. for small paving projects

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DocuSign Envelope ID: C90160CC-06D7-4FE9-ABEB-A5DCFB2CB618 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: P.O. Box 144 City Stem State:NC Zip: 27581 Department: DEAPR Amount: $9,000 Purpose: Small Paving Projects Budget Code(s): 61370035 880000 20039 Vendor # 62218 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date November 10,2016 Approved by Board Yes❑No® Agenda Date: This agreement is approved as to technical form and content: DocuSigned by: Department Director's Signature Amt ta'a Date: 611CFA1D507A495... Information Technologies (Applicable only to hardivare/softtivare 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: DocuSigned"by, '�.�. Office of the Risk Management Officer Faus. r,OV'ttd 6 Date: 7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: Office of the Chief Financial Officer Date: 7D4E51111ACC1409... Legal Services This agreement is approved as to legal form and sufficiency: DocuSigned by: Office of the County Attorney bU,In, Date: EAA3D33EDSA8465... Cleric to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Cleric to the Board Date: Revised 6/16 5