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DocuSign Envelope ID:6EED7317-8410-429C-A08B-llC6A55lC753 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Triangle Landscaping, Inc. Party/Vendor Contact Person: Brad Lewis <br /> (trianglelandscapemjzmt(&cmail.com) Contact Phone: 919.730.5267 Party/Vendor Address: PO Box 144 City Stem State: <br /> NC Zip: 27581 Department: AMS Amount: $5000.00 Purpose: Board of Elections - Landscaping Budget Code(s): <br /> 61370035-880000-10008 Vendor# 62218 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract <br /> Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 11/22/2021 Approved by Board Yes❑ No® <br /> Agenda Date: ---For Section XIV.c. contracts only,Approved by Board in Current FY Budget Yes El No❑ <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 /> 11/16/2021 <br /> Department Director's Signature[fw� 4vadt Date: <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: N/A <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> g QUsa�ru�ffc <br /> Office of the Risk Management Office Date:11/17/2021 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> k.V <br /> 11/17/2021 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> 11/18/2021 <br /> Office of the County Attorney ,7o (h s�pl m" Date: <br /> �.=�ooFoa,.Fs.. <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 06/21 10 <br />