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DocuSign Envelope ID:49B6796B-1634-4210-BE70-3ADC8E4BA5D3 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Triangle Landscaping Inc. Party/Vendor Contact Person: Brad Lewis Contact Phone: 919-730- <br /> 5267 Party/Vendor Address: PO Box 144 City Stem State: NC Zip: 27581 Department: Orange County <br /> Transportation Services Amount: $3,600 Purpose: Create bus stop bench areas and install benches per manufacturer <br /> instructions, any applicable local government permitting, and NCDOT Encroachment Agreement at two bus stops: <br /> 1.)Bus Stop by Hwy 70 & Ashbury Blvd 2.)Bus Stop at Mebane City Hall. Budget Code(s): 630000/10435020 <br /> Vendor# 62218 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date 08/13/2019 Approved by Board Yes❑ No® Agenda <br /> 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 /> DocuSigned by: <br /> Department Director's Signature II � Date: 8/15/2019 <br /> 722E5DDOAB25490 . <br /> Agreements for emergency services or repair are not subject to the above 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 insuranc Docusigned by: ttions,and requirements: <br /> �U$66 (, 6 8/20/2019 <br /> Office of the Risk Management Officer Date: <br /> 7F6CF9178800498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner re DocuSigned by: -mment Budget and Fiscal Control Act: <br /> 4 8/20/2019 <br /> Office of the Chief Financial Officer 7DaE5aa1ACC14M. Date: <br /> Legal Services <br /> This agreement is approved as to legal form and suffi DocuSignedby: <br /> 1t'2,1DtC'S49015549rA!FG+.In.5 <br /> Office of the County Attorney Date: 8/20/2019 <br /> .. <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 />