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DocuSign Envelope ID:575C9B19-7DBA-49F6-9414-63DF13BFDDFD <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Departmnn# <br /> Party/Vendor Name: Warren-Hay Mechanical Contractors, Inc Party/Vendor Contact Person: Ron LaPann <br /> Contact Phone: 919-732-4362 Party/Vendor Address: P.0 Box 818 City Hillsborous7h State: NC Zip: 27278 <br /> Department: AMS Amount: $12,950.00 Purpose: Seymour RTU-8 Budget Code(s): 10240320-57000 Vendor# <br /> 25352 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New❑ <br /> Renewal ❑ Amendment ❑ Effective Date 12/1/2018 Approved by Hoard Yes❑ No❑ Agenda Date: <br /> This agreement is approved as to technic• AQrLMWebmzte11t: <br /> fi ' l '�' <br /> Department Director's Signature rMAiS Date: 11/30/2018 <br /> A73fl,e,z�aaga... <br /> Information Technologies <br /> (applicable only to hardware/software 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 ^W_ a"rdds,specifications,and requirements: <br /> Q�ISA. rbVL�,t,{�'b Office of the Risk Management Officer Date: 11/30/2018 <br /> 800498 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> l � joyb <br /> Office of the Chief Financial Officer ('D4 o,�� Date: 11/30/2018 <br /> Legal Services <br /> This agreement is approved as to legal majubsamfficiency: <br /> ^^old l� 1e v / <br /> Office of the County Attorney J as _ _Date:12 3/2018 <br /> EAA3D33ED8A8465.'^' <br /> Cleric to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to'Sherri Ingersoll upon completion: singersoll c.or�ngecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> I <br /> Office of the Clerk to the Board Date: <br /> f <br /> Revised 10/17 <br /> 8 <br />