HomeMy WebLinkAboutR 2019-203 AMS - Chapel Hill Moving AMS relocation DocuSign Envelope ID:988BAA52-2861-4E70-9272-1D4034876261
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Chapel Hill Moving Company, Inc. Party/Vendor Contact Person: Ethan Smith Contact Phone:
919-929-6683 Party/Vendor Address: 7401 Rex Road, Suite 104 City Chapel Hill State:NC Zip:27516 Department:
AMS Amount: NTE $3060 Purpose: Move AMS from 131 W Marg Lane to allow HR move in for Link remediation
rp oject Budget Code(s): 10240320-580000 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:
Department Director's Signature FgLu& NN*m, Date:4/1/2019
Agreements for emergency services or repair are ndt'Vffl`"&16 fhe 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:
DocuSigned by:
Office of the Risk Management Officer PCs& (h 6 Date: 4/1/2019
7FDCF9176800498... LP
Financial Services
This instrument has been pre-audited in the mar���g,>�,jg�by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer .7 100.4/dO" Date: 4/3/2019
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form a^4OWWWA cy:
Office of the County Attorney ,�G6,, r4 ufs Date4/4/2019
EAA3D33ED8A8465...
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