HomeMy WebLinkAboutR 2019-210 AMS - Chapel Hill Moving HR relocation DocuSign Envelope ID: E87F724B-70D1-45F8-A15F-C9E9BA1DEC82
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 $5000 Purpose: Move HR from 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 Q(ou v6mau, Date:4/1/2019
Agreements for emergency services or repair are subjawcto4dte.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 PUS& (h 6 Date.4/1/2019
7FDCF9176800498... F
Financial Services
This instrument has been pre-audited in the may
.W�S,rAMjpd by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer `�;,Q7 100.41dO" Date:4/3/2019
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form a5-6,
, 9fie�ncy:
Office of the County Attorney r6�t T Date: 4/4/2019
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