Orange County NC Website
DocuSign Envelope ID:7DB9803E-7841-48AE-9D05-24A682535E44 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> PartyNendor Name: 5th Wall Building Diagnostics Consultants PartyNendor Contact Person: Jeff Spady Contact <br /> Phone: 919-616-4715 PartyNendor Address: 9601 Baileywick Rd City Raleigh State: NC Zip: 27615 Department: <br /> AMS Amount: $1,600.00 Purpose: BUILDING COMPARISON Budget Code(s): 10240320-630000 Vendor#58369 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑Non Contract Type: (Check one)New ❑ Renewal <br /> ❑ Amendment ❑ Effective Date 01/03/2017 Approved by Board Yes❑Non Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> D 1/13/2017 <br /> Department Director's Signature Date: <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 Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> r—DOCUSignetl by: <br /> Office of the Risk Management Officer Q(sa Cowuflo Date: 1/13/2017 <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 Sg tlby <br /> <, G�d,z 1/13/2017 <br /> Office of the Chief Financial Officer[�: u A�way Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Doosigetl by: <br /> Office of the County Attorney �0�� Date: 1/13/2017 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydAorangecountync.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 1/16 4 <br />