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DocuSign Envelope ID: CEA337F8-OE35-4358-A2At-92E1B360044E <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> NOT A CONTRACT EXHIBIT OR ATTACHMENT <br /> Department <br /> Party/Vendor Name: 5th Wall Building Diagnostics Consultants Party/Vendor Contact Person: Jeff Spady Contact <br /> Phone: 919-616-4715 Party/Vendor Address: 9601 Baileywick Rd City Raleigh State: NC Zip: 27615 Department: <br /> Asset Management Services Amount: $13,900 Purpose:Roof replacement design and consulting services Cedar Grove <br /> Commutifty Center Budget Code(s): 61370035-882004-30002 Vendor# 58369 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date <br /> Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> D Sig..d by: <br /> Department Director's Signature � u�°""p'°" Date: 10/9/2014 <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Director of Information Technology Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> D...S.g d by: <br /> Cbl�t <br /> Office of Risk Management Quso, ,t}b gR Date: 10/9/2014 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> D Sig d by: <br /> Office of the Chief Financial Officer F,P �ti� JUG Date: 10/9/2014 <br /> zF..as€-aacz.,xxrs... <br /> Leal Services <br /> This agreement is approved as to legal form and sufficiency: { <br /> D S g d by: <br /> Office of the County Attorney 56L, rob�V{S Date: 10/10/2014 <br /> Clerk to the Board <br /> Received for record retention: <br /> Docusigned by: <br /> Office of the Clerk to the Board 06"" bAV Date: 10/10/2014 <br /> r <br /> I <br /> Revised 7/14 4 <br />