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DocuSign Envelope ID:C18D7847-5448-4D7D-8703-D5C59FC780CA <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: IT Amount: <br /> 3 550.00 Purpose: Repair leak on wall at Whitted Budget Code(s): 10315020/571000 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_ 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 /> h DocuSigned by: <br /> Department Director's Signature ,W 4"y Date:3/2/2020 <br /> C11BA91E73A64DF... <br /> Agreements for emergency services or repair are not sunject tome 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 ---Da—- n- -- <br /> lwi 4&ny <br /> Office of the Chief Information Officer Date: 3/2/2020 <br /> C11BA91E73A64DF... <br /> Risk Management <br /> This agreement is approved for sufficiency of insuran^-c��signeed_br ,4;"ations,and requirements: <br /> Office of the Risk Management Officer aUsa r�t6 Date:3/2/2020 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner Docusigned by: — vernment Budget and Fiscal Control Act: <br /> 4 3/3/2020 <br /> Office of the Chief Financial Officer Date: <br /> 704E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and h_oocusigned by: <br /> Office of the County Attorney `� t.S NA, Date: 3/3/2020 <br /> 328DC480549A4F5... <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 4 <br />