HomeMy WebLinkAboutR 2016-679-E AMS - Warren-Hay Mechanical Contractors, Inc. for SportsPlex locker room system replacement DocuSign Envelope ID: D1E92A6B-7B87-4B77-835C-076OF73COC1B
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Warren-Hay Mechanical Contractors, Inc. Party/Vendor Contact Person: Ron LaPann Contact Phone:
919-732-4362, email ron.lapann@warren-hqy.com Party/Vendor Address: PO Box 818 City Hillsborough State: NC Zip:
27278 Department: AMS Amount: $58,884 Purpose: Orange County ports Plex Locker Room System Replacement Budget
Code(s): 5353 0030 880000 Vendor#25352 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract
Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date September 30,2016 Approved by Board Yes❑
No® Agenda Date:
This agreement is approved as to technical form and content:
D Sg Cby.
Department Director's Signature Date: 9/29/2016
®E9B9N36EFCd#89..
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to
information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
Doc S g tl by.
Q(sa(hnuNo 9/29/2016
Office of the Risk Management Officer�u I ne Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
D Sg tlby.
<. d.z 9/29/2016
Office of the Chief Financial Officer��; a Date:
Legal Services
This agreement is approved as to legal form and sufficiency:
D o 59—by
�ol,,�,,, r6Nty{ 12/1/2016
Office of the County Attorney Date:
E d_B_3EBE�k.d65__
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran eg coun nc. ov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Cleric to the Board Date:
Revised 6/16 10