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DocuSign Envelope ID:A6FED2AD-596A-47AC-8131E-7750BFF18494 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Warren-Hay Mechanical Party/Vendor Contact Person: Zach Vandeventer Contact Phone: <br /> 919-732-4362 Party/Vendor Address: POBox 818 City Hillsborough State: NC Zip: 27278 Department: Solid <br /> Waste Amount: $9,258.00 Purpose: Replace Heat Pump Budget Code(s): 50350020-570000 Vendor # 25352 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New <br /> Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date: ---For <br /> Section XIV. c.contracts only,Approved by Board in Current FY Budget Yes No El <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated FW*ft"$Mon of the agreement: <br /> 1201 utt�A.tM WS 3/9/2022 <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 <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: <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 umumme tandards,specifications,and requirements: <br /> QUSA, r,Ovvu 6 3/9/2022 <br /> Office of the Risk Management Officer Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Officer 01. Date:3/9/2022 <br /> Legal Services <br /> This agreement is approved as to Apfi rat4sufficiency: <br /> Office of the County Attorney �StfL hMI& Date: 3/9/2022 <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 <br /> 9 <br />