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DocuSign Envelope ID: C91DOR D8-58FA-4F8F-ABEB-899CF01A1 1`813 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> ............................-.......... <br /> Department <br /> Party/Vendor Name: 5th Wall BuildingQia <br /> Znostjcs C""o'psul-t"a""nts Party/Vendor Contact Person: jjeff�Sad�RRC <br /> Contact Phone: 919-616-4715 Party/Vendor Address: 9601 Baj,JgyAklLjK9Ad City Raleigh State: NC Zjp: 27615 <br /> Department: Asset Management Services Amount: $6,900 Purpose: Roof Replacement Design and Consulting <br /> Services at Blackwood Cates Farms Houses Budget Code(s): 6.0370035-870000-30002 Vendor 4 58369 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes [I NoE Contract Type: Check one) New E Renewal 1:1 <br /> Amendment El Effective Date 02/26/2015 Approved by Board YesEl No❑ Agenda Date: <br /> This agreement is approved as to tech ' %UM aaso content: <br /> Department Director's Signature Date: 2/27/2015 <br /> Information Technologies <br /> (4pplicable only to harelva,at°c?l.voliivareput�ch(ivec or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,,specifications, and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Officer------ 9US& (hvwh Date:3/2/2015 <br /> -1 7 1 F D I C..F...9...1-7..6 8...0...0..4...9..8 <br /> Financial Set-vices <br /> This inStrUnient has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act. <br /> DocuSigned by: <br /> Office of the Chief Financial Officer 4_(A4vu Date: 3/2/2015 <br /> 232DFFC2CFA847B <br /> Levi Services <br /> This agreement is approved as to le Yal I�Jmjp�§�frlciency: <br /> Office of the County Attorney... ..LA, LVfS —Date 3/2/2015. . <br /> r—FAA3D33FD8A8465 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion Cy) <br /> The following signature block is for hard copies only and is riot required for Docusign contracts: <br /> Office of the Clerk to the Board....................................... ......... Date._,_,................... <br /> Re0sed 10/14 4 <br />