HomeMy WebLinkAboutR 2016-752 AMS - Warren Hay Motor Pool HVAC DocuSign Envelope ID:A5C5852A-9983-460E-A7BA-FA37B81AA9F4
ORANGE COUNTY--DEPARTMENT USE ONLY
Department
Party/Vendor Name: Warren-Hav PartyNendor Contact Person: Ron LaPann Contact Phone: 919-732-4362
Party/Vendor Address: P.0 Box 818 City Hillsboroug h State:NC Zip: 27278 Department:AMS Amount: $6,3 80.00
Purpose: Public Def HVAC Budget Code(s): 10240320-570000 Vendor#25352 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑ No[] Contract Type: (Check one)New❑ Renewal ❑ Amendment ❑ Effective Date
10117/2016 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to techn _.oocusigned ay:
Department Director's Signature /`�6 Date:10/18/2016
_
9E880A45CF64498... - -—
Information Technologies
(Applicable only to hardware/sajlrvare 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' _r oocusgn,ea-ay`--'--Is,specifications,and requirements:
��tS�. �,bY'1n.f,{�6 I
Office of the Risk Management Officer_ Date: 10/19/2016
7FDCF9176900498...
Financial Services
This instrument has been pre-audited in °" Docusigned by: '' he Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Offwcer 41. 14� _ Date: 10/19/2016
7D4E5981ACC1409... `
Legal Services
This agreement is approved as to Docusigned ev: ciency:
�6LW K Y�5 10/19/2016
Office of the County Attorney EAA3D33EDSA8465... Date:
Clerk to the Bard
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dotloyd@orangecountyne.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 6116 5