HomeMy WebLinkAboutR 2015-170-E AMS - 5th Wall Building Diagnostics Consultants - roof replacement design and consulting services DocuSign Envelope ID: F4B3E08B-D87A-4AE0-BD19-D169D4E8F41B
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yi ORANGE COUNTY-DEPARTMENT USE ONLY
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Department
Party/Vendor Naive: 5th Wall Buildin, Consultants Party/Vendor Contact Person: Jefftgy.....L. S.ady
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Contact Phone: 919-616-4715 Party/Vendor Address- 9601 Baileywick Road City Raleigh State: NC Zip: 27615
Department; Asset Management Services Amount: $_5 �QQ Purpose: Roofing replacement desi,-,n& consultj,p yic&
Al_f1gQ_11yy_ Ct_N Budget Code(s): 61370035-882000-30002 Vendor # 58369 (N/A if new vendor) Vendor is a
BOCC consultant? Yes F1 Non Contract Type (Check one)New Z [renewal E] Amendment E] Effective Date
04/06/2015 Approved by Board YesE]Non Agenda Crate:....._........_
]'his agreement is approved as to technica] forgn naea,y:content:
U V?"- 4/2/2015
Department Director's Signature ff -- —----------------------- Date.-
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Information Technologies
(,4pl,71icable on vto hat-dit,art-Isojivi,ai-epul�cl74ises or related services)This agreement has been reviewed and is
approved as to infonnation 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:
bocuSigned by:
Office of the Risk Management Officer Date: 4/6/2015
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Financial Services
This instrument has been pre-audited in the r ~o a d by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date. 4/6/2015
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Legal Services
This agreement is approved as to legal form and sufficiency:
DOGUSigned by:
Office of the County Attorney �66' Date: 4/7/2015
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion 1p
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The following signature block is for hard copies only and is not required for Docusign contracts;
Off-ice of the Clerk to the Board
Revised 1004 4