R 2017-145-E AMS - Triangle Landscaping, Inc. to waterproof foundation, drainage installation at CGCC

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DocuSign Envelope ID:DE817329-6DE1-4B6C-A493-1A306F0E1A95 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Triangle Landscaping Inc. Party/Vendor Contact Person: Brad Lewis (trianglelandscapemgmt @gmail.com) Contact Phone: 919.730.5267 Party/Vendor Address: PO Box 144 City Stem State: NC Zip: 27581 Department: AMS Amount: $16,005.00 Purpose: Foundataion water proofing drainage installation for the north wing of the Cedar Grove Community Center Budget Code(s): 61370035-880000- 10016 Vendor# 62218 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date April 3, 2017 Approved by Board Yes' No Agenda Date: This agreement is approved as to technical form and content: l---DOCUSigned by: Department Director's Signature 24 7"1"°'" Date: 4/4/2017 Asset Management (Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction services content and specifications: Office of the Asset Management Director Date: Risk Management This agreement is approved for sufficiency of insurance standards,specifications, and requirements: l---DOCUSigned by: alisa Cewu,ffo 4/5/2017 Office of the Risk Management Officer, Date: Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: r---DOCsieed by: DS Office of the Chief Financial Officer ' `1-(6a 4"`" — Date: 5/2/2017 Legal Services This agreement is approved as to legal form and sufficiency: l---DOCUSigned by: ,)clan,rekr(s 5/2/2017 Office of the County Attorney Date: Clerk 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: Revised 2/17 6