HomeMy WebLinkAboutR 2019-130 AMS - Chapel Hill Moving Court Street Annex DocuSign Envelope ID: D4F4D558-4D88-42A1-8AC5-6F8A5796E6E0
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ORANGE COUNTY—DEPARTMENT USE ONLY K15
Party/Vendor Name: Chapel Hill Moving Party/Vendor Contact Person: Ethan Smith Contact Phone: 919.929.6683
Party/Vendor Address: 7401 Rex Rd, Suite 104 City Chapel Hill State:NC Zip: 27516 Department: AMS Amount:
NTE $1530 Purpose: relocate offices in Court Street Annex Budget Code(s): 10700020-665000 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,
�W �dV�►a0L 2/28/2019
Department Director's Signature +1 Date:
Agreements for emergency services or repair 21 EF373ACD454EF.. above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that was
addressed:
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 sufficiency of inc„rnnoP ctnndnrdQ specifications,and requirements:
DocuSigned by:
6 , 6
Office of the Risk Management Officer 9US66 (' Date: 2/28/2019
7FOCF917e800498. DS
Financial Services Ir
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This instrument has been pre-audited in thep;--;ned dy,a I—`''"Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer��MCC1409
011.z " Date: 2/28/2019
.
Legal Services
This agreement is approved as to legal form- 'ooc s;g�ea ini;
Office of the County Attorney �66A, K6k'6 Date: 2/28/2019
EAA3D33ED&AW5..
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 12/18 4