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DocuSign Envelope ID:4A22A251-650D-48EE-AD64-B17F6F45826F <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: 27516Chapel Hill Moving Company, Inc. Party/Vendor Contact Person: Ethan Smith <br /> (ethan(a-)chapelhillmoving com) Contact Phone: 919-929-6683 Party/Vendor Address: 7401 Rex Road Suite 104 City <br /> Chapel Hill State: NC Zip: 27516 Department: AMS Amount: $1343.00 Purpose: Remove cabinets within Link <br /> Building to Cedar Grove Community Center Storage Budget Code(s): 61370035-880000-10069 Vendor#65179 (N/A <br /> if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date 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 on <br /> this project has not been initiated prior to execution of the agreement: <br /> Docusigned by: <br /> Department Director's Signat 9yti Date: 4/15/2020 <br /> Agreements for emergency servi 2D❑9C❑6B81844C5... 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: Emergency due to needing to move everything out of the office building. <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 /> DocuSigned_by: <br /> . <br /> Office of the Risk Management Offic 9US66 ('6 6 Date: 4/20/2020 <br /> DS 7FDCF9176800498... <br /> �7L Financial Services <br /> This instrument has been pre-audited in the manner rarvii—d by the Local Government Budget and Fiscal Control Act: <br /> CDocuSigned by- <br /> Office of the Chief Financial OM ''�' � Date:4/20/2020 <br /> 7NE5181ACC1409... <br /> Legal Services <br /> This agreement is approved as-1-1 f— and clifficiency: <br /> DocuSigned by: <br /> Office of the County Attorn C?C5F3CDDF0B94F6 <br /> %f t' �l.Vl v, Date:4/21/2020 <br /> ... <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 />