HomeMy WebLinkAboutR 2019-211 AMS - Chapel Hill Moving County Attorney relocation DocuSign Envelope ID:OF3CBAA5-F1E7-4C48-9A21-E5DEFDB7B21B
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 Co atty w/HR&R from 200 S Cameron to Sinclair 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 59(ou v6mavu Date: 4/1/2019
Agreements for emergency services or repair F�% gt4&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:
DocuSigned by:
PUS& (h0 6
Office of the Risk Management Officer Date:4/1/2019
7FDCF9176800498... F
Financial Services
This instrument has been pre-audited in the mr,6,
E&, j ,�,:by the Local Government Budget and Fiscal Control Act:
Q Do.,a/do., 4/3/2019
Office of the Chief Financial Officer Date:
7NE5181ACC1409...
Legal Services
This agreement is approved as to legal forma", ffigi ligq:
,Office of the County Attorney Date:4/4/2019
EAA3D33EDSA8465...
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