HomeMy WebLinkAboutR 2019-738 AMS - Warren Hay Gateway RTU unit repair DocuSign Envelope ID:8CE73FE5-1016-421D-BB52-BOB7C778D1C4
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: $2542.00
Purpose: Gateway RTU-2/RTU-3 emergency call 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 9/11/2019 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:
Department Director's Signature 9M Date.10/9/2019
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Agreements for emergency services or repair are not sunject to the anove 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: This was an emergency call due to the Tax office and Vital records did not have HVAC for a length of time.
The call was made after Maintenance had made several attempts to get the HVAC operational. The tax office was
considering closing.
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 insur DocuSiggned by: :lcatlons,and requirements:
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Office of the Risk Management Officer . Date:
Financial Services
This instrument has been pre-audited in the mann(--=1��MCC1409
" un a`ay' T ' government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date: 10/10/2019
.
Legal Services
This agreement is approved as to legal form and oocusigned by:
Office of the County Attorney �blLw �K6� Date: 10/10/2019
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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