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<br />Revised 06/21 <br /> <br />10 <br /> <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br /> <br />Party/Vendor Name: Warren-Hay Mechanical Contractors Inc. Party/Vendor Contact Person: Ron LaPann <br />(ron.lapann@warren-hay.com) Contact Phone: 919.732.4362 Party/Vendor Address: PO Box 818 City Hillsborough State: <br />NC Zip: 27278 Department: AMS Amount: 14,815.00 Purpose: EAC - Replace RTU M#38AUQA12A0A5A0A0A0 <br />S#2614C90265 Budget Code(s): 61370035-800000-30018 Vendor # 25352 (N/A if new vendor) Vendor is a BOCC <br />consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 1/12/2022 <br />Approved by Board Yes No Agenda Date: --- For Section XIV. c. contracts only, Approved by Board in Current <br />FY Budget Yes No <br /> <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 /> <br />Department Director’s Signature ________________________________________ 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 /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of the Risk Management Officer___________________________________ Date: _________ <br /> <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br /> <br />Clerk to the Board <br /> <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 /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br /> <br /> <br /> <br />DocuSign Envelope ID: 0C547012-BD5A-4455-BA90-8C9C97755395 <br />1/11/2022 <br />1/12/2022 <br />1/14/2022 <br />1/15/2022