HomeMy WebLinkAboutR 2016-392-E AMS - 5th Wall Building Diagnostics Consultants for central recreation roof replacement DocuSign Envelope ID: 3D856AC8-14D5-4DCB-A90E-EAOCDAF33667
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: 5t' Wall Building Diagnostics Consultants Party/Vendor Contact Person: Jeff Spady
(jeffa,5thwallbdc.com Contact Phone: 919.616.4715 Party/Vendor Address: 9601 BaileMick Road City Raleigh
State: NC Zip: 27615 Department: AMS Amount: 9,100.00 Purpose: Central Rec Roof Replacement Budget
Code(s): 61370035-882000-30002 Vendor#58369 (N/A if new vendor) Vendor is a BOCC consultant? Yes ®No
❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date July 29, 2016 Approved by
Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
D 5 g e d by:
Department Director's Signature Y.# Date: 7/21/2016
�9F88DAk6,
Information Technologies
(Applicable only to harchvare/sofAvare 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:
D Sy dby:
Office of the Risk Management Office lL(sa �av c f{a Date: 7/21/2016
�iFL.,FYi]SS.J3�
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
D Sg dby
0_& 7/21/2016
Office of the Chief Financial Officer Date:
Legal Services
This agreement is approved as to legal form and sufficiency:
Do uSigned by:
�olun I°et7�v{s 7/22/2016
Office of the County Attorney Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@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 6/16 5