R 2014-523 AMS - 5th Wall Building Diagnostics Consultants - roof replacement, design, consulting services at Skills Development Center

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DocuSign Envelope ID: 161DF357-E193-413A-A127-A561AA3383E6 ORANGE COUNTY-DEPARTMENT USE ONLY NOT A CONTRACT EXHIBIT OR ATTACHMENT 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 Department: Asset Management Services Amount: $8,800 Purpose: Roof replace ment design and consulting services Skills Development Center 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 Approved by Board Yes❑Non Agenda Date: This agreement is approved as to technical form and content: iy;S g d by: Department Director's Signature 7410' p"_ Date: 10/9/2014 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 Director of Information Technology Date: Risk Management This agreement is approved for sufficiency of insurance standards,specifications, and requirements: D Sg tlby: Office of Risk Management USX C6InntN Date: 10/9/2014 Financial Services I This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSignetl by. Office of the Chief Financial Officer Date: 10/9/2014 Legal Services This agreement is approved as to legal form and sufficiency: D Sig d by: Office of the County Attorney 166, roes Date: 10/10/2014 Clerk to the Board Received for record retention: DocuSig d by: Office of the Clerk to the Board Fu�tiv�ael°�a�ur Date; 10/10/2014 Revised 7/14 4