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DocuSign Envelope ID: B609CD31-DACE-456A-91E0-9865ED037F19 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Warren-Hay Mechanical Contractors, Inc Party/Vendor Contact Person: Ron LaPann Contact <br /> Phone: 919-732-4362 Party/Vendor Address: PO Box 818 City Hillsborough State: NQ Zip: 27278 Department: <br /> AMS Amount: $2700.00 Purpose: Jail Circuit B Budget Code(s): 10240320-570000 Vendor#25352 (NIA if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract 'Type: (Check one) New ❑ Renewal ❑ <br /> Amendment ❑ Effective Date Approved by Board Yes❑No[] Agenda Date: <br /> This agreement is approved as to tech ' bocusigned by: 1: <br /> Department Director's Signature= 7A,o — Date,11/2/2017 <br /> 9E8SCA4SCFF4498... <br /> Information Technologies <br /> (Applicable only to hardii,ar-e%vojhvare prrr•ehases or related seri,ices)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 F`Do <br /> �„sgnea_6Y.��'�"'s,specifications,and requirements: <br /> Office of the Risk Management Officer [,USX Cbl b Date:11/3/2017 <br /> 7FDCF9176SO0495... --- -- <br /> Financial Services <br /> This instrument has been pre-audited in t Docusigned by: a Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 41 <br /> . Date:11/3/2017 <br /> — 704E51S1ACC1409... <br /> Leal Services <br /> This agreement is approved as to le -Docusigne.d pv.._ . icy: <br /> �bLA, K6�U-6 11/3/2017 <br /> Office of the County Attorney u Bate: <br /> EAA3033E08A84fi5... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd rr.oran ecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 2/17 5 <br /> I <br />