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DocuSign Envelope ID: F1 E83634-E9F9-4E06-ACAF-1 F4185641 B55 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Warren HU 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 Hillsborough <br /> State: NC Zip: 27278 Department: AMS Amount: NTE $1,900.00 Purpose: ES HVAC AAON Unit Crack Case <br /> Heater Replacement Budget Code(s): 61370035-800000-30018 Vendor# 25352 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date <br /> 2/23/2022 Approved by Board Yes❑ No® Agenda Date: ---For Section XIV. c. contracts only, Approved by <br /> 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 <br /> this project has not been initiated prior to execution of the agreement: <br /> Department Director's Signature Sfcw 4Ykdt Date:z/zz/zozz <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 was <br /> addressed: N/A <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> k.V <br /> 2/22/2022 <br /> Office of the Risk Management Office Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date:2/23/2022 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> 2/23/2022 <br /> Office of the County Attorney Date: <br /> C=�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 4 <br />