Orange County NC Website
DocuSign Envelope ID:988BAA52-2861-4E70-9272-1D4034876261 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Chapel Hill Moving Company, Inc. Party/Vendor Contact Person: Ethan Smith Contact Phone: <br /> 919-929-6683 Party/Vendor Address: 7401 Rex Road, Suite 104 City Chapel Hill State:NC Zip:27516 Department: <br /> AMS Amount: NTE $3060 Purpose: Move AMS from 131 W Marg Lane to allow HR move in for Link remediation <br /> rp oject Budget Code(s): 10240320-580000 Vendor# 65179 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑No❑ Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 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 <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signature FgLu& NN*m, Date:4/1/2019 <br /> Agreements for emergency services or repair are ndt'Vffl`"&16 fhe 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 was <br /> 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 /> DocuSigned by: <br /> Office of the Risk Management Officer PCs& (h 6 Date: 4/1/2019 <br /> 7FDCF9176800498... LP <br /> Financial Services <br /> This instrument has been pre-audited in the mar���g,>�,jg�by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer .7 100.4/dO" Date: 4/3/2019 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form a^4OWWWA cy: <br /> Office of the County Attorney ,�G6,, r4 ufs Date4/4/2019 <br /> EAA3D33ED8A8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: 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 /> Revised 12/18 4 <br />