R 2019-502 AMS - Warren Hay Seymour Center RTU 4 5 and 6 replacement

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DocuSign Envelope ID:7F47BCD2-D5EA-492B-8EAD-A794991D270F ORANGE COUNTY-DEPARTMENT USE ONLY Party/Vendor Name: Warren Hay Mechanical Contractors Party/Vendor Contact Person: Ron LaPann Contact Phone: 919-732-4362 Party/Vendor Address: PO Box 818 City Hillsborough State:NC Zip: 27278 Department: Amount: $29,968 Purpose: To replace rooftop units 4,5 & 6 at the Seymour Center Budget Code(s): 61370035-880000-30018 Vendor# 25352 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑No® Agenda Date: This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: QLk �/anx�n 7/23/2019 Department Director's Signature[,IX, Date: Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: NA Risk Management This agreement is approved for sufficiency of insurance standards,specifications,and requirements: kGs� bn1ffa Office of the Risk Management Officer[,,— vaR Date: 7/24/2019 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control PL Act: Office of the Chief Financial Officer Date: 7/29/2019 Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney[,. q Date: 7/30/2019 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 12/18 5