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DocuSign Envelope ID:A2549449-B787-4CD2-9735-486D2801231C <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Triangle Landscaping, Inc Party/Vendor Contact Person: Brad Lewis Contact Phone: 919- <br /> 730-5267 Party/Vendor Address: PO Box 144 City Stem State: NC Zip: 27581 Department: AMS Amount: <br /> $10,525 Purpose: construct 6 concrete pads Budget Code(s): 61370035-890000-30013 Vendor# 62218 (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ <br /> Amendment ❑ Effective Date 9/20/2017 Approved by Board Yes No Agenda Date:June 6,2017 <br /> This agreement is approved as to tec 1,1Mnd content: <br /> ye# 7404 <br /> Department Director's Signatur "' °'� Date: <br /> 9/22/2017 <br /> 9E880A46C F64498... <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 /> DocuSigned by: <br /> Office of the Asset Management Directo Y nt,o'w1 'al. Date:9/22/2017 <br /> 9E880A46CF64498... <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> DocuSigned""by: <br /> Office of the Risk Management Officer MS& Cbrin'',tt11LL <br /> 0 Date: 9/25/2017 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Officer <br /> i , L I Date: 10/2/2017 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as _m_1,fid end sufficiency: <br /> ,)6LIA Mot-Vi s <br /> Office of the County Attorne Date:10/2/2017 <br /> —€PM3 B33ED8xt84-65... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(a)orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 2/17 6 <br />