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DocuSign Envelope ID: EB049CDA-8F82-4B40-B539-2BFD501C4524 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Chapel Hill Moving Company, Inc Party/Vendor Contact Person: Ethan Smith Contact <br /> Phone: 919-929-6683 Party/Vendor Address: 7401 Rex Rd Suite 104 City Chapel Hill State: NC Zip: 27516 <br /> Department: AMS Amount: $9810.00 Purpose: AMS/Housing Move Budget Code(s): 10240320-630000 Vendor <br /> # 65179 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New <br /> ❑ Renewal ❑ Amendment ❑ Effective Date 8/14/2019 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signature 12DD9CD6B81844C5 <br /> rwt- QMkDate:8/12/2019 <br /> . <br /> Agreements for emergency services or repair are not subject to the 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 <br /> was 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 ins-------oocuSlpned by: - - -cifications,and requirements: <br /> aCisa wu,f�a / / <br /> Office of the Risk Management Officer Date:8 14 2019 <br /> 1 <br /> 7FDCF9176800498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> 0 � 8/15/2019 <br /> Office of the Chief Financial Officer Date: <br /> 7D4E51S1ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal form Docusigned by: <br /> Office of the County Attorney �bkYiS Date:8/19/2019 <br /> EAA3D33ED8AW5.. <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 <br /> 8 <br />