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DocuSign Envelope ID:A5C5852A-9983-460E-A7BA-FA37B81AA9F4 <br /> ORANGE COUNTY--DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Warren-Hav PartyNendor Contact Person: Ron LaPann Contact Phone: 919-732-4362 <br /> Party/Vendor Address: P.0 Box 818 City Hillsboroug h State:NC Zip: 27278 Department:AMS Amount: $6,3 80.00 <br /> Purpose: Public Def HVAC Budget Code(s): 10240320-570000 Vendor#25352 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑ No[] Contract Type: (Check one)New❑ Renewal ❑ Amendment ❑ Effective Date <br /> 10117/2016 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to techn _.oocusigned ay: <br /> Department Director's Signature /`�6 Date:10/18/2016 <br /> _ <br /> 9E880A45CF64498... - -— <br /> Information Technologies <br /> (Applicable only to hardware/sajlrvare 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' _r oocusgn,ea-ay`--'--Is,specifications,and requirements: <br /> ��tS�. �,bY'1n.f,{�6 I <br /> Office of the Risk Management Officer_ Date: 10/19/2016 <br /> 7FDCF9176900498... <br /> Financial Services <br /> This instrument has been pre-audited in °" Docusigned by: '' he Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Offwcer 41. 14� _ Date: 10/19/2016 <br /> 7D4E5981ACC1409... ` <br /> Legal Services <br /> This agreement is approved as to Docusigned ev: ciency: <br /> �6LW K Y�5 10/19/2016 <br /> Office of the County Attorney EAA3D33EDSA8465... Date: <br /> Clerk to the Bard <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dotloyd@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 6116 5 <br />