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DocuSign Envelope ID: F4B3E08B-D87A-4AE0-BD19-D169D4E8F41B <br /> l DS <br /> yi ORANGE COUNTY-DEPARTMENT USE ONLY <br /> ......................... <br /> Department <br /> Party/Vendor Naive: 5th Wall Buildin, Consultants Party/Vendor Contact Person: Jefftgy.....L. S.ady <br /> p_ <br /> Contact Phone: 919-616-4715 Party/Vendor Address- 9601 Baileywick Road City Raleigh State: NC Zip: 27615 <br /> Department; Asset Management Services Amount: $_5 �QQ Purpose: Roofing replacement desi,-,n& consultj,p yic& <br /> Al_f1gQ_11yy_ Ct_N Budget Code(s): 61370035-882000-30002 Vendor # 58369 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes F1 Non Contract Type (Check one)New Z [renewal E] Amendment E] Effective Date <br /> 04/06/2015 Approved by Board YesE]Non Agenda Crate:....._........_ <br /> ]'his agreement is approved as to technica] forgn naea,y:content: <br /> ­U V­?"- 4/2/2015 <br /> Department Director's Signature ff -- —----------------------- Date.- <br /> E�9EHOA46CF64498... <br /> Information Technologies <br /> (,4pl,71icable on vto hat-dit,art-Isojivi,ai-epul�cl74ises or related services)This agreement has been reviewed and is <br /> approved as to infonnation technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> bocuSigned by: <br /> Office of the Risk Management Officer Date: 4/6/2015 <br /> E�7 F D C F 9 1 7 6 8 00 4 9 8- <br /> Financial Services <br /> This instrument has been pre-audited in the r ~o a d by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date. 4/6/2015 <br /> .......................................... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DOGUSigned by: <br /> Office of the County Attorney �66' Date: 4/7/2015 <br /> �—EAAMKEDM8465 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion 1p <br /> -qL _ydc�j <br /> � LgEaL —r,a - <br /> The following signature block is for hard copies only and is not required for Docusign contracts; <br /> Off-ice of the Clerk to the Board <br /> Revised 1004 4 <br />