HomeMy WebLinkAboutR 2018-002 AMS - Fifth WallDocuSign Envelope ID: 16604FCD -37FD- 4038- 8DOC- 86OA7AA63162
ORANGE COUNTY - DEPARTMENT USE ONLY
Department
Party/Vendor Name: 5t' Wall Party/Vendor Contact Person: Jeff Spady (jeffk5thwallbdc.com) Contact Phone:
919.616.4715 Party/Vendor Address: 9601 Baileywick Rd City Raleigh State: NC Zip: 27615 Department: AMS
Amount: $1,750.00 Purpose: Provide building facade condition assessment for MBF located at 1510 Hwy 86 North,
Hillsborough Budget Code(s): 61370035- 870000 -10020 Vendor # 58369 (N /A if new vendor) Vendor is a
BOCC consultant? Yes ❑ No[] Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective
Date 12/29/17 Approved by Board Yes❑ No® Agenda Date:
This agreement is approved as to technical form and content:
�D 5 "g E by
Department Director's Signature l ' y�.« Date: 12/28/2017
Information Technologies
(Applicable only to hardware /software purchases or related services) This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer
Risk Management
Date:
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
D sg ea by
Office of the Risk Management Office �QGsa (ar,u$d Date: 12/28/2017
Financial Services
Pl This instrument has been pre- audited in the manner required by the Local Government Budget and Fiscal Control
Act:
D 5'g a by:
Office of the Chief Financial Officer[ �°"'°" Date: 1/2/2018
Legal Services
This agreement is approved as to legal form and sufficiency:
D c Sig —by:
Office of the County Attorney ido, 4� Date: 1/2/2018
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(aoraneecount. njc.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board
Revised 10/17
9
Date: