R 2016-511-E AMS - Triangle Office Equipment to disconnect/remove/reconnect furniture to store until painting complete

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DocuSign Envelope ID: C3E1991C-2B33-492A-A969-983D3B81FC1A ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Triangle Office Equipment Party/Vendor Contact Person: Trey Jones (trey @triangleofficeequipment.com) Contact Phone: 919-929-4203 Party/Vendor Address: 300B South Elliott Road City Chapel Hill State: NC Zip: 27514 Department: OCHD Amount: NTE $2800.00 Purpose: Disconnect / Reconnect Furniture Budget Code(s): 61370035-892000-30012 Vendor # 75 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 8/31/16 Approved by Board Yes❑No® Agenda Date: DS This agreement is approved as to technical form and content: Doc 5 g d by l.� Department Director's Signature Y.# Date: 9/6/2016 Information Technologies (Applicable only to hardware/software purchases or related seiwices)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency of insurance standards,specifications, and requirements: D..S y d by: Office of the Risk Management Office lL(sa �av c f{a Date: 9/6/2016 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Docu Signed by: Office of the Chief Financial Officer 0° III° Date: 9/6/2016 Legal Services This agreement is approved as to legal form and sufficiency: D S g d by: Office of the Count Attorne °�`� �0� Date: 9/7/2016 O y y�€vssDSSFDSrta i�.,_. Clerk to the Board Received for record retention: All Docusign contacts must be copied to Donna Lloyd upon completion @ Dolloyd a,oran e�tync•gou The following signature block is for hard copies only and is not required for Docusign contacts: i Office of the Clerk to the Board Date: Revised 6/16 5