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DocuSign Envelope ID:AC67BBAB-C829-4786-8FAF-2342D3D69B6C <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Triangle Landscaping Inc. Party/Vendor Contact Person: Brad Lewis Contact Phone: 919- <br /> 730-5267 Party/Vendor Address: PO Box 144 City Stem State: NC Zip: 27581 Department: AMS Amount: <br /> 5 920.00 Purpose: Revere Rd Parking Lot Budget Code(s): 10240320-570000 Vendor # 62218 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ <br /> Amendment ❑ Effective Date 9/30/2019 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 <br /> on this project has not been initiated prior to execution of the agreement: <br /> �DLocu''S..igned by: <br /> Department Director's Signature �r - kmA Date: 9/23/2019 <br /> sooscoae84844c5. <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 <br /> was 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 inst Docusigned by: ;ifications,and requirements: <br /> Office of the Risk Management Officer [&a (h�b 7FDCF9176900498. Date: 9/23/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: Docu5igned by: <br /> Office of the Chief Financial Officer 1),N ' '� Date:9/24/2019 <br /> 7n4E5181ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal form Docusigned by: <br /> +blLw K6 ,fs <br /> Office of the County Attorney Date:9/25/2019 <br /> E1+AM33ED8AW5.. <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 <br /> 8 <br />