HomeMy WebLinkAboutR 2015-246-E AMS - 5th Wall Building Diagnostics Consultants - roof replace design and consulting services for OC Jail DocuSign Envelope ID:8BDA6ABE-28AD-4D4C-AE17-79316DFF4221
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Nanne.- 5th gall_all_ tig-DiaLmostics Consultants Party/Vendor Contact Person: Jeff$pAdy Contact
Phone: 919-616-4715: Party/Vendor Address: 9601 Bailevwick Rd City Ealcig4 State:NQ Zip,- 2
....... _75 15 Department::
r Amount: S1_28 9_Q Purpose: Roof retflacennent &sign are,i Yq C nty Jail Budget
_2g�lting services Orang
Code(s): 10240320-570001 Vendor 9 58369 (N/A if new vendor) Vendor is a BOCC consultant? Yes El Non
Contract'Fype� (Check one) New E Renewal F-1 Amendment ❑ Effective Date Approved by Board Yes
F]Non Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature Date: 6/1/2015
Information Technologies
(Applicable only to Naar dwarelsqftivare 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 insurance standards, specifications,and requirements:
DocuSigned by:
Office of the Risk Management Officer ('6�b Date: 6/2/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the mane.QL6ggAj6pA Ay the Local Government Budget and Fiscal Control Act:
Office of the Chief inancial Officer- PMAL Date:.. 6/8/2015
Legal Services
This agreement is approved as to legal form an
Office of the County Attorney Date: 6/8/2015
..........
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Qo�qt"n 4g.goy
The following signature block is for hard copies only and is not required far Docusign contracts:
Office of the Clerk to the Board Date:
Revised 10/14 4