HomeMy WebLinkAboutR 2016-421-E AMS - 5th Wall Building Diagnostics Consultants, Inc. for CA services for DA roof replac DocuSign Envelope ID: 1EECD013-D22F-4802-8089-53C5BFBAE1FC
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: 5"' Wall Building Diagnostics Consultants, Inc Party/Vendor Contact Person: Jeff Spady
('eftk5thwallbdc,com Contact Phone: 919.616.4715 Party/Vendor Address: 9601 Baileywick Road City Ralei
State: NC Zip: 27615 Department: AMS Amount: 3,380.00 Purpose: CA Services for DA Roof Replace 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 7/29/16 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 p Date: 8/5/2016
Information Technologies
(Applicable only to harchvare/sofhvare purchases or related set-vices)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.-Signed by:
ausa. ��6 8/5/2016
Office of the Risk Management Office Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
D S g d by:
Office of the Chief Financial Officen Date: 8/5/2016
Legal Services
This agreement is approved as to legal form and sufficiency:
Docu Signed by:fs
Office of the County Attorney °�`� �0� Date: 8/5/2016
Clerk to the Board
a
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:
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Revised 6/16 5