Orange County NC Website
DocuSign Envelope ID:OB277C32-7C18-4CE8-AE28-1292DCDOCDBF <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Bartlett Tree Experts Party/Vendor Contact Person: Kevin Riegner Contact Phone: 919-687- <br /> 0776 Party/Vendor Address: 819 Ellis Road City Durham State: NC Zip: 27703 Department: DEAPR Amount: <br /> 1 177.00 Purpose: Suppress Emerald Ash Borer Budget Code(s): 10515020 630000 Vendor# 63998 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date 4/1 to 6/1/2020 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 /> Department Director's Signature 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 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 ins„ranna stnndPr ls, specifications,and requirements: <br /> Docu5igneed_by: <br /> . <br /> Office of the Risk Management OfficerZ17MCF917e800498 <br /> USX Cb 6 Date: 3/11/2020 <br /> ... <br /> Financial Services <br /> This instrument has been pre-audited in oocusigned by: he Local Government Budget and Fiscal Control Act: <br /> Ir <br /> � 4 � 3/12/2020 <br /> Office of the Chief Financial Officer7o481acc1400... Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney 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 4 <br />