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DocuSign Envelope ID: B4FCE778-8528-44CE-AA6B-2D12919CBB9B <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> DeRartment <br /> Party/Vendor Name: Chapel Mill Moving Company, Inc Party/Vendor Contact Person: Ethan Smith Contact Phone: <br /> 419-929-+6683 Party/Vendor Address: 7401 Ilex Road, Ste 104 City Chapel Hill State: NC Zip: 27516 Department: <br /> AMS Amount;$4369.82 Purpose:Departmental Nieves Budget Code(s): 10240320-630000 Vendor ff 65179 (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ renewal ❑ <br /> Amendment ❑ Effective Date 10/22/18 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form anc ocusigned by: <br /> Department Director's Signature Date: 10/28/2018 <br /> 1�oESSCA40CF64408... <br /> Information Technologies <br /> (Applicable only to hat•dwarelsofnvare,nrrrchases 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 ins-,-----ocuSiggned by ""°=ifications,and requirements: <br /> aUS& (,6�6 10/29/2018 <br /> Office of the Risk Management Officer Date: <br /> 7FCrCF917E800498... <br /> Financial Services <br /> This instrument has been pre-audited in the t DocuSigned by:'' " )Cal Goverment Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer A Date: 10/29/2018 <br /> 704E5981ACC1469... <br /> Legal Services <br /> This agreement is approved as to legal form UoeuSigned 6y: <br /> �6 K6kk � 10/30/2018 <br /> 13EAA3D33ED8A5 Office of th e County Attorney 84s ... Date: <br /> 10/30/2018 <br /> to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: siapersoll it orangecountync.p-oy <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 10117(Mgr appry 5k 6/18) 4 <br />