R 2016-748 AMS - Triangle Landscaping EMS concrete repair

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DocuSign Envelope ID: E7CD6EF8-BFD4-4232-B1F7-CA4E6612A1AB ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Triangle Landsca in Inc Party/Vendor Contact Person: Bract Lewis Contact Phone: 919-730- 5267 PartyNendor Address: PO Box 144 City Stem State: NC Lip: 27581 Department: AMS Amount: $5785.00 Purpose:EMS Concrete Repair Budget Code(s): 10240320-570000 Vendor#62218 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No[] Contract Type: (Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes[]No❑ Agenda Date: This agreement is approved as to technic-- — ., ` '^~*' gr l�Ia :J�iCAOCF64408 signed by: Department Director's Signature mi 1. — Date: g9/6/2016 ... Information Technologies (Applicable only to hardwarelsoftware purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date:_ Risk Management 'Phis agreement is approved for sufficiency of id;n us gtnniinrtiQ,Specifications,and requirements: Do Office of the Risk Management Officer &4L r"_ A6 Date:9/6/2016' 7FDCF9176800498... Financial Services This instrument has been pre-audited ir. i-ocusigned ayi--'--""--the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer Date: 9/7/2016 704E5181ACC1409... Legal Services This agreement is approved as to le oocuSigned by:_ Icy: Office of the County Attorney� ��EAAM3aEMAW5 _Date: 9/7/2016 . Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecounwe_gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board .___Date: Revised 6/16 5