R 2017-554-E AMS - Triangle Landscaping, Inc. to replace two trees on Cameron St. sidewalk extension

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DocuSign Envelope ID:93D535A1-BE46-46DB-9F39-A847C7E79986 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Triangle Landscaping,Inc./trianglelandscapemgmt @gmail.com Party/Vendor Contact Person: Brad Lewis Contact Phone: 919-730-5267 Party/Vendor Address: PO Box 144 City Stem State: NC Zip: 27581 Department: AMS Amount: $1,200.00 Purpose: Provide and install(2) trees to replace the two trees removed for the Cameron Street Sidewalk Extension Budget Code(s): 61370035-880000-30001 Vendor# 62218 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 10/23/17 Approved by Board Yes' No Agenda Date: This agreement is approved as to technical form and content: Department Director's Signature e Date: 10/10/2017 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 Directo °'"1"°"' Date: 10/10/2012 Risk Management This agreement is approved for sufficiency of insurance standards,specifications,and requirements: Office of the Risk Management Office aLsa Can a& Date:10/10/2012 Financial Services (v; This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: saed ev: Office of the Chief Financial Office 21-21-21-21— Date: 10/11/2017 Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorne 9eGv 1°ebu�`s Date:10/12/2012 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(a)orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Revised 2/17 6