Orange County NC Website
DocuSign Envelope ID:966098F7-C590-43EE-BE72-33DC7E49FD65 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> PartyNendor Name: Triangle Landscaping Inc PartyNendor Contact Person: Brad Lewis Contact Phone: 919-730- <br /> j PartyNendor Address: PO Box 144 City Stem State: NC Zip.,27581 Department: AMS Amount: 17&00.00 <br /> Purpose: Stormdrain Replacement Budget Code(s): 10240320-570000 Vendor # 62218 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑ Renewal ❑ Amendment ❑ <br /> Effective Date Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to techn'-`6 ocuSigned by: <br /> Department Director's Signature V 740"kr"Ou Date: 9/6/2016 <br /> 1P9E88CA4BCF64408 <br /> Information Technolocies <br /> (Applicable only to hardware/software purchases or related services)This agreemcnt has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Mana fence lent <br /> This agreement is approved for sufficiency of[&&�"�ocusignea a"y:'A~.A-,specifications,and reciuircmcnts: <br /> �I'1n.t,{�6 <br /> Office of the Risk Management Officer_ Date: 91U2016 <br /> 7FDCF917e800498... <br /> Financial Services <br /> This instrument has been pre-audited in Docusigned by: "te Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 9/7/2016 <br /> 704E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to I1EAA3D3aED&AW5_._-DocuSigned my:`l 5 lency: <br /> Office of the County Attorney 6L W Pkk Date: 9/7/2016 <br /> ----- <br /> Cleric to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dol1oydaoranF_ecountvnc.aov <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 6/16 5 <br />