HomeMy WebLinkAboutR 2017-013-E AMS - 5th Wall Building Diagnostics Consultants for building comparison DocuSign Envelope ID:7DB9803E-7841-48AE-9D05-24A682535E44
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
PartyNendor Name: 5th Wall Building Diagnostics Consultants PartyNendor Contact Person: Jeff Spady Contact
Phone: 919-616-4715 PartyNendor Address: 9601 Baileywick Rd City Raleigh State: NC Zip: 27615 Department:
AMS Amount: $1,600.00 Purpose: BUILDING COMPARISON Budget Code(s): 10240320-630000 Vendor#58369
(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑Non Contract Type: (Check one)New ❑ Renewal
❑ Amendment ❑ Effective Date 01/03/2017 Approved by Board Yes❑Non Agenda Date:
This agreement is approved as to technical form and content:
D 1/13/2017
Department Director's Signature Date:
Information Technologies
(Applicable only to hardware/software 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:
r—DOCUSignetl by:
Office of the Risk Management Officer Q(sa Cowuflo Date: 1/13/2017
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
D Sg tlby
<, G�d,z 1/13/2017
Office of the Chief Financial Officer[�: u A�way Date:
Legal Services
This agreement is approved as to legal form and sufficiency:
Doosigetl by:
Office of the County Attorney �0�� Date: 1/13/2017
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydAorangecountync.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 1/16 4