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DocuSign Envelope ID: B406114C-69F5-4925-A358-F969F1B28D85 <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-ham Contact Phone: 919.732.4362 Party/Vendor Address: PO Box 818 City Hillsborough State: <br /> NC Zip: 27278 Department: AMS Amount: 7,278.00 Purpose: EMS Server Room Redundancy Budget Code(s): 61370035- <br /> 880000-30062 Vendor#25352 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check <br /> one) New ® Renewal ❑ Amendment ❑ Effective Date 12/20/2021 Approved by Board Yes❑ No® Agenda Date: <br /> ---For Section XIV.c. contracts only,Approved by Board in Current FY Budget Yes®No[—] <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this <br /> project has not been initiated prior to execution of the agreement: <br /> 12/15/2021 <br /> Department Director's Signature[fw� 4vadt Date: <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have <br /> already begun or been completed please briefly describe the nature of the emergency condition that was addressed: N/A <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> Office of the Risk Management Office aGs� Date: 12/15/2021 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> k.V <br /> Office of the Chief Financial Officer rr �^ M Date:12/15/2021 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney .7 C (h s�rl m" Date: <br /> 12/16/2021 <br /> =�ooFoa�Fs. <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@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 06/21 10 <br />