Orange County NC Website
Revised 11/19 <br />9 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <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 />$7800.00 Purpose: Eno River Parking Deck- Replace steps Budget Code(s): 10240320-57000 Vendor <br /># 62218 (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 />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 <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 insurance standards, specifications, and requirements: <br />Office of the Risk Management Officer___________________________________ 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: <br />Office of the Chief Financial Officer ____________________________________ 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 comp letion: 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 />DocuSign Envelope ID: D7E0629D-E601-4489-B3C0-7DAAFA9E08A2 <br />6/28/2021 <br />6/29/2021 <br />7/1/2021 <br />7/1/2021