R 2018-433 AMS - RM&N ES backup HVAC

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DocuSign Envelope ID: A3085305 -97D8- 438E- A223- 13AED5BFF65E P[_ ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: RN &M Engineers Party/Vendor Contact Person: Steve Kaufman (skaufmanga,rnm- engineers.com) Contact Phone: 828.492.0611 Party/Vendor Address: 94 Main Street City Canton State: NC Zip: 28716 Department: AMS Amount: $9,000.00 Purpose: Design Back Up HVAC systems for existing Emergency�¢T uN Services Building Budget Code(s): 61370035- 870000 -30062 Vendor # 44863 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 5/21/18 Approved by Board Yes❑ No® Agenda Date: This agreement is approved as to technical form and content: Department Director's Signature Information Technologies Date: 5/18/2018 (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 Risk Management Date: This agreement is approved for sufficiency of insurance standards, specifications, and requirements: Office of the Risk Management Office -- �or� a Financial Services Date: 5/20/2018 This instrument has been pre- audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer[ Legal Services Date: 6/21/2018 This agreement is approved as to legal form and sufficiency: , Office of the County Attorney[ Date: 6/21/2018 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin erg soll(&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 Revised 10/17 0 Date: