HomeMy WebLinkAboutR 2019-708 Solid Waste - Town of Chapel Hill shredathon lot MOA c;2el 7 Dg
DocuSign Envelope ID : 39F189E1 - B1A8-45CA-A1D5 -49794CO2CC7D
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name : Town of Chapel Hill Party/Vendor Contact Person : Brian Litchfield Contact Phone : 919 -
9694908 Party/Vendor Address : 6900 Millhouse Rd City Chapel Hill State : NC Zip : 27516 Department : Solid
Waste Amount : N/A Purpose : Use of Park and Ride Lot for shred a thon Budget Code ( s ) : N/A Vendor #
(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 Date : 10 / 7 / 2019
Agreements for emergency services or ' am4w4oaubject 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 insurance standards , specifications , and requirements :
DocuSigned by:
"" ��
Office of the Risk Management OfficerFaus. VIAkltb Date : 10 / 7 / 2019
7FDCF9176800498. 11
Financial Services
This instrument has been pre - audited in the manner required by the Local Government Budget and Fiscal Control
Act :
DocuSigned by:
(Office of the Chief Financial Officer Date : 10 / 7 / 2019'� ����
7D4E5181ACC1409 . 11
Legal Services
This agreement is approved as to legal form and sufficiency :
DocuSigned by:
Office of the County Attorney F9KkLG NWit, 1�6SCb Date : 10 / 7 / 2019
079A4D525COF4FBI . .
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 : l �n/
Revised 12/ 18