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DocuSign Envelope ID:ACOD7EO9-9562-499C-8A9D-C264F2576187 <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 /> 6987.73 Purpose: To install Metal Shed& Chain Link Fence at EMS Budget Code(s): 61370035-880030-10068 <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 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 /> Department Director's SignatuCe�Sftkv' AMA Date: 12/22/2020 <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 sufficient 8f ipsur��ce standards,specifications,and requirements: <br /> ocu igne <br /> Office of the Risk Management Offic rausa, rb�b Date:1212212020 <br /> 7FDCF9176800498... <br /> LDS <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: QM4E5181ACC1409 <br /> ocuSigned by: <br /> Office of the Chief Financial Offic 12/23/2020 <br /> a,-Loy 'L�"zA,�w/9"L Date: <br /> ... <br /> Legal Services <br /> This agreement is approved as to �, q , d sufficicncy: <br /> ��`` 12/29/2020 <br /> Office of the County Attorne J�s�,ph, � � Date: <br /> 4C5F3CDDF0B94F6... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@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 07/20 <br /> 9 <br />