HomeMy WebLinkAboutR 2019-023 AMS - Warren Hay Hillsborough Commons HVAC DocuSign Envelope ID:6391BOAE-362A-4C3C-9EO2-718ABE34457B
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Warren-Hay Party/Vendor Contact Person: Ron LaPann Contact Phone: 919-732-4362
Party/Vendor Address: PO Box 818 City Hillsborough State:NC Zip: 27278 Department: AMS Amount: $3917.00
Purpose: Commons HVAC Replacement 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 1/25/2019 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work on
this project has not been initiated prior to execution of the agreement:
DocuSigned by:
PW& �bV1rotA.ln, 1/18/2019
Department Director's Signature Date:
Agreements for emergency services or repair are not subject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that was
addressed:
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'7�s�
c�g9M*lards,specifications,and requirements:
x C6V'�tR,{f6 1/18/2019
Office of the Risk Management Officer CF9 7R8""40R Date:
Financial Services
This instrument has been pre-audited in the Dad by the Local Government Budget and Fiscal Control Act:
+� �
Office of the Chief Financial Officer �� Date: 1/18/2019
Legal Services
This agreement is approved as to lega,ro-rl
J6U11
�1"��lclency:
J � 1/18/2019
Office of the County Attorney FAA3n:iRFnRAR4R.1i Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.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 12/18 4