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DocuSign Envelope ID:29E72DFF-OA14-48A9-832F-8E83F3425814 <br /> ADS Ds <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Triangle Landscaping Party/Vendor Contact Person: Brad Lewis Contact Phone: 919- <br /> Party/Vendor Address: PO Box 144 City Stem State: NC Zip: 27581 Department: DSS Amount: $2420 Purpose: <br /> Striping&Signs at Hillsborough Commons Budget Code(s): 10400120-629000 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 technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> Oocusigned by: <br /> 'L Department Director's Signature N �bS�btn. Date:6/5/2019 <br /> Agreements for emergency services or repair a DAPE198A836455 bove affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that was <br /> addressed: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards_ specifications,and requirements: <br /> Docusigned by: <br /> 6 , b�US& (' <br /> Office of the Risk Management Officer Date: 6/5/2019 <br /> 7FDCF9176900498. <br /> DS <br /> Financial Services r r <br /> This instrument has been pre-audited in the r­DDocus fined by �"',1,P T,ocal Government Bu4,..-..d Fiscal Control Act: <br /> Office of the Chief Financial Officer 41.44� Date: 6/6/2019 <br /> 704E51S1ACC1469. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficienev: <br /> Docusigned by: <br /> Office of the County Attorney �bLW Pkk�s Date:6/6/2019 <br /> EAA3033EMAW5.. <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 12/18 4 <br />