Orange County NC Website
Browse       Search
DocuSign Envelope ID:A6154131F-B3E1-4CE4-AF5A-8C4E07B1F71D <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Triangle Landscaping Inc. Party/Vendor Contact Person: Brad Lewis Contact Phone: <br /> 919.730.5267 Party/Vendor Address: PO BOX 144 City Stem State:NC Zip: 27581 Department: Transportation <br /> Services Amount: $7,200 Purpose: Simme Seat Installation Budget Code(s): 630000/10435020 Vendor# 62218 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New <br /> Renewal❑ Amendment ❑ 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 <br /> on this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> ��, — �--- 12/10/2 019 <br /> Department Director's Signature 722E5DDOAa254s0 . Date: <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 sufficienc -docuSig/Pn�ed by: rds,specifications,and requirements: <br /> �Sa (.,oVln.��b 12/10/2019 <br /> Office of the Risk Management Officer �7FDCF91768004M. Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> 41.44� 12/11/2019 <br /> Office of the Chief Financial Officer 7❑aE5aa1ACC140s. Date: <br /> Legal Services <br /> This agreement is approved as t OocuSigned by: nency: <br /> �w s br �' 12/20/2019 <br /> Office of the County Attorney 32sac4s0549A4F5.. Date: <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 11/19 <br /> 8 <br />