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DocuSign Envelope ID:93FD61C9-1256-4C33-8BEE-47D904031A28 <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: Not to exceed(One Thousand Nine Hundred and Forty Nine Dollars) $1949.00 Purpose: Move Skills <br /> Development Center to Southern and Whitted Buildings Budget Code(s): 10400130-803000 (20%) 10240330-803000 <br /> 80% Vendor#65179 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check <br /> one) New ® Renewal ❑ Amendment ❑ Effective Date 02/01/2020 Approved by Board Yes[-] No® <br /> 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: 2/25/2020 <br /> Department Director's Signatu 1__ <br /> zwu. QV A Date: <br /> Agreements for emergency servic 2D❑9CD6B81844C5_. 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 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 sufficiencv of insurance standards, specifications,and requirements: <br /> oo"Signed by: 2/27/2020 <br /> Office of the Risk Management Offi aUSA c6nU 6 Date: <br /> 7FDCF0176800498... <br /> D.S <br /> r Financial Services <br /> l/ This instrument has been pre-audited it th-s gee"a ay:rP"i—1 by the Local Government Budget and Fiscal Control Act: <br /> Doc3/2/2020 <br /> Office of the Chief Financial Offic Date: <br /> Cr7NE5181ACCAH <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Docusigned by: 3/3/2020 <br /> Office of the County Attorn �6 ( tmv, Date: <br /> 4C5F3CDDF0B94F8... <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 11/19 4 <br />