HomeMy WebLinkAboutR 2019-181 AMS - 105 West Corbin Street LLC Sinclair Station lease DocuSign Envelope ID:234B0168-7DD8-4F95-A2D1-25D37F4A4C22
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: 105 West Corbin Street,LLC. Party/Vendor Contact Person: Tori.Reid Contact Phone: 919-
245-8473 Party/Vendor Address: 960 Corporate Drive, Suite 404 City Hillsborough State:NC Zip: 27278
Department: AMS Amount: $30,000 Purpose: Lease of Office Space Budget Code(s): 10240320 580000
Vendor#65588 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)
New ❑ Renewal ❑ Amendment ❑ Effective Date 3/20/2019 Approved by Board Yes®No❑ Agenda
Date: 3/7/2019
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:
C
� Off),4aan. 3/15/2019
Department Director's Sig, Date:
21 EF373ACD454EF..
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 sufficien WcuSigned by: irds,specifications,and requirements:
USX CDV1n. 6 3/15/2019
Office of the Risk Management Office[,7FDCF917e800498. Date:
Financial Services
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 Office 0 � Date: 3/19/2019
Cr7NE5181ACC1409.
Legal Services
This agreement is approved as tc ' oocusigned by:' r iciency:
Office of the County Attorney �66A, K6kkY S Date: 3/20/2019
EAA3MaEDSA94S5..
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