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DocuSign Envelope ID: C41A43F4-7FOE-4678-B143-E34641EC9603 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Warren-Hay Mechanical Contractors Inc. Party/Vendor Contact Person: Ron Lapann <br /> (Ron.lapann e warren-hay.com) Contact Phone: 919.732.4362 Party/Vendor Address: PO Box 818 City <br /> Hillsborough State: NC Zip: 27278 Department: AMS Amount: $17,325.00 Purpose: Clean & treat complete <br /> HVAC system for ES Building at 510 Meadowlands Drive Budget Code(s): 10240320-570000 Vendor # 25353 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New <br /> Renewal ❑ Amendment ❑ Effective Date October 11, 2016 Approved by Board Yes[] No® Agenda <br /> Date: <br /> This agreement is approved as to technical form and content: <br /> 7z4 byd�w <br /> Department Director's Signature�o<u f<e Date: 10/27/2016 <br /> Information Technologies <br /> (Applicable only to hardware/softrivare purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> Uocu5i9ned by: <br /> Cawu b <br /> Office of the Risk Management Office QUS0, Date: 10/31/2016 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> U bg <br /> Office of the Chief Financial Officer��!'�an�e1 b Date: 10/31/2016 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> U 5g dby 10/31/2016 <br /> Office of the County Attorney �0�"�ohwts Date: <br /> C�3o33�o0Aes <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Revised 6/16 6 <br />