R 2014-571 DEAPR - Warren Hay Mechanical Contractors, Inc. for Heat Pump Installation $3,150

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DocuSign Envelope ID: 443010D1- F2AE- 4EA4- A39D- 96B8D483592A ORANGE COUNTY -- DEPARTMENT USE ONLY Department PartyNendor Name: Warren Hay Mechanical Contractors Inc. PartyNendor Contact Person: Johnny Clayton Contact Phone: 919- 732 -4362 Party/Vendor Address: P.O. Box 818 City Hillsborough State: NC Zip: 27278 Department: DEAPR Amount: $3,150 Purpose: Heat Pump Installation Budget Code(s): 10 240056 Vendor # 25352 (NIA 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: DocuSigned by: Department Director's Signature SfA�u� Date: 611CFA1D507A495... Information Technologies (Applicable only to harclivore/sofhs,are 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 Risk Management Date: This agreement is approved for sufficiency of insurance standards, specifications, and requirements: [Aus. DocuSigned "by:' 11 Office of the Risk Management Officer (bVtitt& Date: 7FDCF9176800498... 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 I ( F•Qu�e�n� _)_ V�Rti Date: 2F982EC44C2C444... Lep,al_Seryices This agreement is approved as to legal forth and sufficiency: Signed by: Office of the County Attorney 5bZ, otxf s Date: EAAMKEMA8465... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oi,atigecotjii(3riie.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of file Cleric to the Board Revised 10/14 4 Date: