Orange County NC Website
DocuSign Envelope ID:A9727DCA-8BA0-4433-8835-A8F70B3CA970 <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 @warren-hay.com) Contact Phone: 919-732-4362 Party/Vendor Address: PO Box 818 City <br /> Hillsborough State: NC Zip: 27278 Department: AMS Amount: $28,616 Purpose: Replace Roof Top Unit # 2 <br /> and #7 at the Seymour Senior Center, 2551 Homestead Road, Chapel Hill Budget Code(s): 61370035-800000- <br /> 30018 Vendor # 25352 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: <br /> (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 8/14/17 Approved by Board Yes' No <br /> Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> �—oo<s�gea oy: <br /> paw 8/4/2017 <br /> Department Director's Signature 2,,„PS«,�4a Date: <br /> Asset Management <br /> (Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction <br /> services content and specifications: <br /> o sg y <br /> Office of the Asset Management Director Hi 71.°''''' Date: 8/4/2017 <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> �—oo<s�gea ey: <br /> Q(asa Corintffo 8/7/2017 <br /> Office of the Risk Management Officer, Date: <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 /> �—m<s�gea ey: <br /> Office of the Chief Financial Officer � Date: 8/7/2017 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> �—oo<s�gea ey: <br /> ,)61uA,roknts 8/7/2017 <br /> Office of the County Attorney__oBAe,„ Date: <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 2/17 6 <br />