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DocuSign Envelope ID:4659CD86-5C5C-4726-9F10-AA69EA5C98C1 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Warren Hay Mechanical Contractors, Inc Party/Vendor Contact Person: Ron Lapann <br /> (ron.lapann(a)warren-hay.com) Contact Phone: 919.732.4362 Party/Vendor Address: PO Box 818 City <br /> Hillsborough State: NC Zip: 27278 Department: AMS Amount: NTE $11,400 Purpose: Rework duct work and <br /> install single unit for IT closet per plans Budget Code(s): 61370035-880000-30035 Vendor# 25352 (N/A 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 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 /> D s'g g by: <br /> Department Director'sSignatura`"s vtw 2/27/2019 <br /> e[ k1 Date: <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: This work was completed due to the urgency of moving the Public Defender to the Link Building at <br /> the direction of previous director. <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> D s'g a by: <br /> Office of the Risk Management Office 'Usa(amuff6 Date: 2/27/2019 <br /> ]FDCFgt]gB0D49g_ <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> P( Act: <br /> D s'g etl by: <br /> Office of the Chief Financial Officer� g� Date:3/4/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D...sig..by: <br /> Office of the County Attorney �d�'"Pebw}s Date: 3/4/2019 <br /> CEAA3D33EDgAgOgS_. <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 />