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DocuSign Envelope ID:OA6EE6E2-3617-4COF-BF4E-E34D87C76ED4 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: 5h Wall Building Diagnostic Consultants Party/Vendor Contact Person: Jeff Spady <br /> (5thwalldbc.com) Contact Phone: 919.616.4725 Party/Vendor Address: 9601 Baileywick City Raleigh State: NC <br /> Zip: 27615 Department: AMS Amount: $20,000.00 Purpose: RAMP Consulting Budget Code(s): 61370035- <br /> 882000-30002 Vendor# 58369 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract <br /> Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 8/29/16 Approved by Board Yes❑No <br /> ® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> D 5 g d by: <br /> #�F P-n 8/23/2016 <br /> Department Director's Signature - Date: <br /> Information Technologies <br /> (flpplicable only to hardware/sofrivare purchases 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 Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Dc Sy tlby <br /> Office of the Risk Management Officer 'USA, (av�,c 6 Date: 8/24/2016 <br /> C,F„ 4, 4 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> D 5 g d by: <br /> Office of the Chief Financial Officer 8/24/2016 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D 5 gned by: <br /> CLn )°bbuv-s orange county Attorney <br /> Office of the County Attorney , Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 6/16 <br /> 8 <br />