Orange County NC Website
DocuSign Envelope ID:AOF53191-262C-4CB2-B674-9AB9C758A904 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Triangle Landscaping Party/Vendor Contact Person: Brad Lewis Contact Phone: Party/Vendor <br /> Address: PO Box 144 City Stem State:NC Zip:27581 Department: Solid Waste Amount: $11,275.00 Purpose: Installing a <br /> glass concrete pad Budget Code(s): 50352020-6300003 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 12-30-2020 Approved by <br /> 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 this <br /> project has not been initiated prior to execution of the agreement: <br /> DocuSign/e'd11by: <br /> Department Director's Signature F WIUAA S Date: 12/22/2020 <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have <br /> already begun or been completed please briefly describe the nature of the emergency condition that was addressed: <br /> Risk Management <br /> This agreement is approved for sufficiency of' e@&wi lards,specifications,and requirements: <br /> Q�1Sa Office of the Risk Management Officer C�b Date:12/22/2020 <br /> Financial Services <br /> This instrument has been pre-audited in the rw*ivd by the Local Government Budget and Fiscal Control Act: <br /> ,�, ,L 12/23/2020 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to €EK egf1Yl sufficiency: <br /> Office of the County Attorney ,6st fL hmv, Date:12/24/2020 <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 10 <br />