HomeMy WebLinkAboutR 2016-393-E AMS - 5th Wall Building Diagnostics Consultants, LLC for historic courthouse roof and gutter repairs DocuSign Envelope ID: F2CFCEDE-82B3-4468-95F8-FDB924COC618
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: 5h Wall Building Diagnostics Consultants, LLC Party/Vendor Contact Person: Jeff Spady
(jeffa,5thwallbdc.com) Contact Phone: 919.616.4715 Party/Vendor Address: 9601 Baileywick Road City Ralei
State: NC Zip: 27615 Department: AMS Amount: $1,400.00 Purpose: Construction Admin for Historic Courthouse
Roof&Gutter Repairs 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 25,2016 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
D 5 g d by:
Department Director's Signature - _ Date: 7/21/2016
Information Technologies
(Applicable only to harchvare/sofnvare 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:
lL(sa �awLCffa
Office of the Risk Management Office Date: 7/21/2016
FoeFg+�Eeao i_a
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
Doc Sig ed by
Office of the Chief Financial Officer
' _& Date: 7/22/2016
�2l.Csiv.hcCa%y
Legal Services
This agreement is approved as to legal form and sufficiency:
D S g dby:
66 �eti�s
Office of the County Attorney Date: 7/22/2016
�'FAA3fT.s3FthSR8f65...
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