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DocuSign Envelope ID: F3C10718-51A3-4640-AB74-BF1A85BADF26 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Triangle Landscaping,Inc./trianglelandscapemgmt @gmail.com Party/Vendor Contact Person: <br /> Brad Lewis Contact Phone: 919-730-5267 Party/Vendor Address: PO Box 144 City Stem State: North Carolina <br /> Zip: 27581 Department: AMS Amount: $37,500 Purpose: Cameron Street Sidewalk Extension Budget Code(s): <br /> 61370035-880000-30001 Vendor# 62218 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No <br /> Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 1/30/17 Approved by Board <br /> Yes❑No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> r—DOCUSignetl by. <br /> Department Director's Signature Hi 71"-"P"— Date: 1/22/2017 <br /> Pg ytvUU/141,rb44. <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 /> D Sg tlby: <br /> Office of the Risk Management Office a(sa�owuNo Date: 1/23/2017 <br /> �rocrancoogwa.. <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 /> �DOCUSignetl by. <br /> Office of the Chief Financial Officer ° "` Date: 1/24/2017 <br /> L—]D4E51II�AGC1400.. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> �—DOOsigetl by: <br /> Office of the County Attorney 0 r0�` Date: 1/2 5/2017 <br /> LA/\JU3SELMA69bo <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ [ o I iwyd u;oranzeco€en lic gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Revised 6/16 6 <br />