HomeMy WebLinkAboutR 2017-017-E AMS - 5th Wall Building Diagnostics Consultants to check facades at Environmental & Agriculture Center DocuSign Envelope ID: F08286FF-FCF5-48EB-9A5B-EF6048EEA541
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: 5th Wall Building Diagnostics Consultants Party/Vendor Contact Person: Jeff Spady Contact
Phone: 919-616-4715 Party/Vendor Address: 9601 Baileywick Rd City Raleigh State: NC Zip: 27615 Depai l,nent:
AMS Amount: $1,250.00 Purpose: FACADE COND. EAC Budget Code(s): 10240320-630000 Vendor # 58369
(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New ❑ Renewal
❑ Amendment ❑ Effective Date 01/03/2017 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and content:
r—DOCUSignetl by.
Department Director's Signature 2 E"e" Date: 1/13/2017
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 Co ' 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:
r—DOCUSignetl by.
Office of the Chief Financial Officer (1.N " Date: 1/17/2017
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Legal Services
This agreement is approved as to legal form and sufficiency:
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�—DOOsigetl by:
Office of the County Attorney 0 rOys Date: 1/18/2017
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(aliorangecountync.gov 1,
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