HomeMy WebLinkAboutR 2020-169 AMS - Chapel Hill Moving SDC move DocuSign Envelope ID:93FD61C9-1256-4C33-8BEE-47D904031A28
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: Not to exceed(One Thousand Nine Hundred and Forty Nine Dollars) $1949.00 Purpose: Move Skills
Development Center to Southern and Whitted Buildings Budget Code(s): 10400130-803000 (20%) 10240330-803000
80% Vendor#65179 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check
one) New ® Renewal ❑ Amendment ❑ Effective Date 02/01/2020 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: 2/25/2020
Department Director's Signatu 1__
zwu. QV A Date:
Agreements for emergency servic 2D❑9CD6B81844C5_. 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 sufficiencv of insurance standards, specifications,and requirements:
oo"Signed by: 2/27/2020
Office of the Risk Management Offi aUSA c6nU 6 Date:
7FDCF0176800498...
D.S
r Financial Services
l/ This instrument has been pre-audited it th-s gee"a ay:rP"i—1 by the Local Government Budget and Fiscal Control Act:
Doc3/2/2020
Office of the Chief Financial Offic Date:
Cr7NE5181ACCAH
Legal Services
This agreement is approved as to legal form and sufficiency:
Docusigned by: 3/3/2020
Office of the County Attorn �6 ( tmv, Date:
4C5F3CDDF0B94F8...
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 11/19 4