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DocuSign Envelope ID: CC61AD51-9200-4DEB-BBDA-E50D8BB74136 <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: $8,800 Purpose: Roof replacement design and consulting services New <br /> Courthouse Budget Code(s): 61370035-882002-30002 Vendor# 58369 (N/A if new vendor) Vendor is a BOCC <br /> 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 /> Do Signed by: <br /> 7 ,rpNn <br /> Department Director's Signature l Date: 10/15/2014 <br /> ..eaaaaaeerox4sa... <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 /> by: <br /> Office of Risk Management <br /> ED­Si,",1 <br /> Usa col e Ho Date: 10/16/2014 <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 S"g d by: <br /> F�2uner �e JUA,a 10/17/2014 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D S"g 11b <br /> Office of the County Attorney <br /> L 6, roes Date: 10/17/2014 <br /> A7S3D33EQSl8365... <br /> Clerk to the Board <br /> Received for record retention: <br /> D 5 g tl by: <br /> Office of the Clerk to the Board E 0� �" Ur Date: 1011712014 <br /> ]F6193FC 7546F <br /> I <br /> Revised 7/14 4 <br />