HomeMy WebLinkAboutR 2019-601 AMS - Warren Hay Whitted boiler pipe replacement DocuSign Envelope ID:6ADE3670-5672-4DD4-B793-654D507901E1
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Warren Hay Mechanical Contrators Inc. Party/Vendor Contact Person: Ron LaPann
(ron.lapannnwarren-ham)_ Contact Phone: 919-732-4362 Party/Vendor Address: PO Box 818 City Hillsborough State:
NC Zip: 27278 Department: AMS Amount: $50,885.00 Purpose: Boiler Pipe Replacemnet at Whitted Building, 300 West
Tryon Street, Hillsborough NC, includes removal of existing pipe Budget Code(s): 61370035-880000-10075 Vendor #
614503 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal
❑ Amendment ❑ Effective Date 08/28/2019 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:
D 5' d by:
Department Director's Signature Sfw�Q,Vt1¢ 8/29/2019
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: N/A
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
D s'g a by:
Office of the Risk Management Officer a(asa 6....: Date: 8/29/2019
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Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
11F"
D s'g a by:
Office of the Chief Financial Office �" Date: 8/30/2019
Legal Services
This agreement is approved as to legal form and sufficiency:
D s'g a by:
Office of the County AttorneyaZ',R6i LA Date 9/3/2019
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 11