HomeMy WebLinkAboutR 2019-151 Solid Waste - Town of Chapel Hill shredathon space ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name : Town of Chapel Hill Party/Vendor Contact Person : Brian Litchfield Contact Phone : 919
969 4908 Party/Vendor Address : 6900 Millhouse Road, City Chapel Hill State : NC Zip : 27516
Department : Solid Waste Amount : N/A Purpose : Use of Park & Ride Lot for Shred-A -Thon Budget Code (s) : N/A
Vendor # (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 $
Department Director ' s Signat 04. Date : Z �
Agreements for emergency services or repair are not subject to the 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 insurance standards , specifications , and requirements :
Office of the Risk Management Officer 4D �.� � Date . 1 S
t G�
Financial Services
This instrument has been pre - audited in them er e d by the Local Government Budget and Fiscal Control
Act .
Office of the Chief Financial Officer Date . f
Legal Services
This agreement is approved as to legal form and sufficiency ,
Office of the County Attorneys A44 Date : 3 / 1 S I `1
v
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