R 2020-257 AMS - Chapel Hill Moving SHSC move

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DocuSign Envelope ID: 123773D4-36EC-4CA6-A827-2B8BD368D991 ORANGE COUNTY-DEPARTMENT USE ONLY Party/Vendor Name: 27516Chapel Hill Moving Company, Inc. Party/Vendor Contact Person: Ethan Smith (ethan(a-)chapelhillmoving com) Contact Phone: 919-929-6683 Party/Vendor Address: 7401 Rex Road Suite 104 City Chapel Hill State: NC Zip: 27516 Department: AMS Amount: $1275.00 Purpose: Packing contents and moving filing cabinets and other items within the building, deliver load to Whitted and Cedar Grove and return to Whitted with bookshelf for Housing Budget Code(s): 20%($255.00) 10400130-803000 80%($1020.00) 10240330-803000 Vendor # 65179 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date: This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: Docusigned by: L '' 4/14/2020 Department Director's Signat s!= �4M Date: Agreements for emergency servi�_ ?❑❑sc❑aes�aaac5... subject to the above affirmation. If services related to this g y r ----� agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: Emergency due to needing to move employees around to get out of other office buildings. Information Technologies (Applicable only to hardware/software purchases or related services)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 sufficier-.7 of ins„rnnce zt—lards,specifications,and requirements: DocuSigneed_by: . Office of the Risk Management Offic gusa �r,oVlnwh Date:4/14/2020 7FDCF9i78800498... DS d f Financial Services f lr This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: Office of the Chief Financial Offi rI 4' � Date:4/16/2020 7NE5181ACC1409... Legal Services This agreement is approved as to legal form and sufficiency: DocuSigned by: Office of the Count Attorn 4/16/2020 y 14C5FSGDDF0Be4F6 DSt.�t. �i.Vl'Iln. Date: .. Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 11/19 4