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DocuSign Envelope ID: D1E92A6B-7B87-4B77-835C-076OF73COC1B <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Warren-Hay Mechanical Contractors, Inc. Party/Vendor Contact Person: Ron LaPann Contact Phone: <br /> 919-732-4362, email ron.lapann@warren-hqy.com Party/Vendor Address: PO Box 818 City Hillsborough State: NC Zip: <br /> 27278 Department: AMS Amount: $58,884 Purpose: Orange County ports Plex Locker Room System Replacement Budget <br /> Code(s): 5353 0030 880000 Vendor#25352 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract <br /> Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date September 30,2016 Approved by Board Yes❑ <br /> No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> D Sg Cby. <br /> Department Director's Signature Date: 9/29/2016 <br /> ®E9B9N36EFCd#89.. <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to <br /> 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 /> Doc S g tl by. <br /> Q(sa(hnuNo 9/29/2016 <br /> Office of the Risk Management Officer�u I ne Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> D Sg tlby. <br /> <. d.z 9/29/2016 <br /> Office of the Chief Financial Officer��; a Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D o 59—by <br /> �ol,,�,,, r6Nty{ 12/1/2016 <br /> Office of the County Attorney Date: <br /> E d_B_3EBE�k.d65__ <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran eg coun nc. ov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Cleric to the Board Date: <br /> Revised 6/16 10 <br />