HomeMy WebLinkAboutR 2017-275-E AMS - 5th Wall Building Diagnostics to provide oversite of construction work at CGCC waterproofing and drain installation DocuSign Envelope ID: B6F716CE-0006-4D10-9BB0-5E5E16EFC339
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: 5th Wall Building Diagnostics Party/Vendor Contact Person: Jeff Spady
(jeff @5thwallbdc.com) Contact Phone: 919.616.4715 Party/Vendor Address: 9601 Baileywick Rd City Raleigh
State: NC Zip: 27615 Department: AMS Amount: $1.600.00 Purpose: Provide oversite of construction work at
the CGCC North Wing waterproofing and drain installation Budget Code(s): 61370035-880000-10016 Vendor #
58369 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one)New
Renewal ❑ Amendment ❑ Effective Date 6/28/2017 Approved by Board Yes❑ No Agenda Date:
This agreement is approved as to technical form and content:
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fly paw 6/29/2017
Department Director's Signature H�®�,,y��� . 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:
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Office of the Risk Management Office aGsa C611"".ffo Date: 7/3/2017
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Financial Services
,s This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
06 Act:
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Office of the Chief Financial Officer " a, Date: 7/5/2017
Legal Services
This agreement is approved as to legal form and sufficiency:
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Office of the County Attorney )0� �Ohw{s Date: 7/7/2017
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@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 2/17
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