Orange County NC Website
DocuSign Envelope ID:AB178758-2088-4100-894B-83E266F244DD <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Warren-Hay Party/Vendor Contact Person: Ron LaPann Contact Phone: 919-732 4362 <br /> Party/Vendor Address: P.O Box 818 City Hillsborough State: NC Zip: 27278 Department: AMS Amount: <br /> $16,487.00 Purpose: Public Def HVAC Budget Code(s): 10240320-570000 Vendor# 25352 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ N'o❑ Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ <br /> ;Effective Date 9/22/2016 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to tecf ' oocusigned by: " it: <br /> Department Director's Signature_ 7AO .,, Date: 9/26/2016 <br /> 9E88CA40CF64408... <br /> Information Technolo ies <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 sufficicncv of insurance standards,specifications,and requirements: <br /> QocuSigned by: <br /> Office of the Risk Management Office QU56 (6V'I�.t,{�6 Date: 9/27/2016 <br /> - 7FDCF017E800408_. <br /> Financial Services <br /> This instrument has been pre-audited in `" oocusigned by: the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer A . Date: 9/27/2016 <br /> 704E5181ACC1400 <br /> Legal.Services <br /> This agreement is approved as to O1ocuSigned by: iency: <br /> 6ULUt. K6kkfS 9/28/2016 <br /> Office of the County Attorney_ EAasossEOSAS4 5.._ Date: <br /> Clerk to the,Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountyne.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 606 <br />