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DocuSign Envelope ID: 3A977045-E1DD-4620-A39B-246CA4D8E573 <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: 919.730.5267 Party/Vendor Address: PO Box 144 City <br /> Stem State: NC Zip: 27581 Department: AMS Amount: $4,715.00 Purpose: Dig trench 50'long by 20" deep and <br /> backfill after conduit is installed, remove curb, install 55x3' concrete pad, seed and straw for electric car charging <br /> station at the Seymour Center Budget Code(s): 10240020-680090 (Duke Energy EV Grant) Vendor# 62218 (N/A <br /> if new vendor) Vendor is a BOCC consultant? Yes ❑No Contract Type: (Check one)New® Renewal❑ <br /> Amendment ❑ Effective Date 5/25/17 Approved by Board Yes❑No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> o sg y <br /> fly paw 5/30/2017 <br /> Department Director's Signature moo sa Date: <br /> Asset Management <br /> (Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction <br /> services content and specifications: <br /> �—oo<s�gea oy: <br /> Office of the Asset Management Director,2m w Date: 5/30/2017 <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> o sg aey <br /> Qlasa(ork.ito 5/31/2017 <br /> Office of the Risk Management Office ,„c„,,68ee,,,g Date: <br /> Financial Services <br /> —.e This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> �—m<s�gea ey: <br /> Office of the Chief Financial Officer, Date: 6/1/2017 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> oo<s�gea ey: <br /> )o1uA,roknts 6/1/2017 <br /> Office of the County Attorney Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Revised 2/17 6 <br />