HomeMy WebLinkAboutR 2019-204 AMS - Chapel Hill Moving Public Defender relocation DocuSign Envelope ID:853791D8-E130-4B55-8BEE-AD1847FE0952
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Chapel Hill Moving Company 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 $5000 Purpose: Move PD across hall at 200 S Cameron for Link remediation project 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 Ptou v6ma A, Date:4/1/2019
Agreements for emergency services or repair are §tffPMq f -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 insuroaon s 9�a b dards, specifications,and requirements:
Office of the Risk Management Officer PUS& rb�6 Date: 4/1/2019
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Financial Services
This instrument has been pre-audited in the mannersr9oyFd by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer �Q �O"Q�dO" Date: 4/3/2019
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form an susfficncy:
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�b ty► 4/4/2019
Office of the County Attorney Date:
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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