Orange County NC Website
DocuSign Envelope ID: FA55FBDC-C890-4EED-8747-40540A9E5CB1 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Warren - Hay Mechanical Contractors Inc. Party/Vendor Contact Person: Ron Lapann <br /> (ron.lapannkwarren-hay.com) Contact Phone: 919.732-4362 Party/Vendor Address: PO Box 818 City <br /> Hillsborough State: NC Zip: 27278 Department: AMS Amount: 5,498.00 Purpose: Replace AHU at ENO <br /> Mountain Communication Tower due to existing unit being at end of life. Budget Code(s): 61370035-880000- <br /> 30018 Vendor # 25352 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: <br /> (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 2/4/2019 Approved by Board Yes❑No® <br /> Agenda Date: <br /> QI� <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> UocuSig—by: <br /> Department Director's SignatureRk k Jq$i s Date: 1/28/2019 <br /> esssaces,Re¢an.. <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: N/A <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> o sg acy: <br /> Office of the Risk Management Office QUs&(hnu fto Date: 1/28/2019 <br /> �soers�ieeeeas_. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> P1,3 Act: <br /> o sg a by: <br /> Office of the Chief Financial Officer ^ Date: 1/30/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> o s'g a by: <br /> Office of the County Attorney�66,r6�to Date: 1/30/2019 <br /> FAl3�33ELBAVIIg3.. <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.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 12/18 5 <br />