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DocuSign Envelope ID:90AC5F08-9F53-494B-9E47-4EAB5416A9CB <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Triangle Landscaping Inc Party/Vendor Contact Person: Brad Lewis <br /> (trianglelandscapemgmt&gmail.com) Contact Phone: 919.730.5367 Party/Vendor Address: PO Box 144 City <br /> Stem State: NC Zip: 27581 Department: AMS Amount: 1800.00 Purpose: Clean & repair drainage Budget <br /> Code(s): 61370035-880000-10052 Vendor#62218 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 11/21/16 Approved by <br /> Board Yes❑No[] Agenda Date: <br /> This agreement is approved as to technical forth and content: <br /> D Sg tlby. <br /> Department Director's Signature 12/1/2016 <br /> Information Technolosies <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 /> Do S g tlby. <br /> QUSOL (hw 6 12/2/2016 <br /> Office of the Risk Management Officer Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> D Sg tlby <br /> Office of the Chief Financial Officer 4_"4_� Date: 12/2/2016 <br /> Legal Services <br /> This agreement is approved as to legal forth and sufficiency: <br /> D S tl by: <br /> r6Nty{,,,6 <br /> Office of the County Attorney �� a Date: 12/2/2016 <br /> E B 3EB9,h946S.. <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.plc.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Revised 6/16 5 <br />