HomeMy WebLinkAboutR 2019-554 AMS - Chapel Hill Moving AMS to Housing DocuSign Envelope ID: EB049CDA-8F82-4B40-B539-2BFD501C4524
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 Rd Suite 104 City Chapel Hill State: NC Zip: 27516
Department: AMS Amount: $9810.00 Purpose: AMS/Housing Move Budget Code(s): 10240320-630000 Vendor
# 65179 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New
❑ Renewal ❑ Amendment ❑ Effective Date 8/14/2019 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 12DD9CD6B81844C5
rwt- QMkDate:8/12/2019
.
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 sufficiency of ins-------oocuSlpned by: - - -cifications,and requirements:
aCisa wu,f�a / /
Office of the Risk Management Officer Date:8 14 2019
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7FDCF9176800498.
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
0 � 8/15/2019
Office of the Chief Financial Officer Date:
7D4E51S1ACC1409.
Legal Services
This agreement is approved as to legal form Docusigned by:
Office of the County Attorney �bkYiS Date:8/19/2019
EAA3D33ED8AW5..
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
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