HomeMy WebLinkAboutR 2015-303-E AMS - 5th Wall Building Diagnostics Consultants - consulting services for Portico Structural Restoration of the OC Mag.'s Office roof DocuSign Envelope ID: B2AEF412-BOEF-459E-B763-A53572F54A27
ORANGE COUNTY-DEPARTMENT USE ONLY
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Department
Party/Vendor Name: 5th W I Buildjnig_j2Ltag
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-al �b s Consultants Party/Vendor Contact Person: Jeff Spad Contact
Phone: 919-6164715 Party/Vendor Address: 9601
L_ Baileywi�k Rd... City Raleigh State: NC Zip: 27615 Department::
AMS Amount: Ll 5 7.00 Purpose: general consulting sgry�jcesfor the lortico Structural Restoration of the ()ran,,
County Magistrates' Office roof Budget Code(s): 10240�320-57000 l. Vendor# 58369 (N/A if new vendor) Vendor
is a BO CC consultant? Yes El No Contract Type: (Check one) New r,71 Renewal r-I Amendment El Effective
Date Approved by Board YesFj No❑ Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature___ Date'. 6/26/2015
Information Technologies
(Applicable only to harclwarelsof1ware purchases or related services)This agreenient has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer )date:
Risk Manauernent
This agreement is approved for sufficiency of insurar6g,�,VQ6�ds,specifications,and requirements:
u , ne :
Office of the Risk Management Officer US& (t b Date: 6/27/2015
QMZP91799_04_99 ..-. .............
Financial Services
This instrument has been pre-audited in the manner boa ire q
,g, ne
0 Ig yy the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer P4 bov 6V, Date: 6/29/2015
232DFFC2CFA847B
Ley-al Services
This agreement is approved as to legal fort
Office of the County Attorney Date: 6/30/2015
Clerk to the Board
Received for record retention:
All I Docusign contracts rnust be copied to Donna Lloyd upon completion (ii',I)o1joydf)qE.
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The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board
Revised 10/14 4