R 2017-274-E AMS - 5th Wall Building Diagnostics for wall flashing repair design at Whitted Building

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DocuSign Envelope ID: F24B6616-F4CE-468E-B9D3-4D1AA127AE52 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: 5th Wall Building Diagnostics Party/Vendor Contact Person: Jeff Spady (jeff @5thwallbdc.com) Contact Phone: 919.616.4715 Party/Vendor Address: 9601 Baileywick Rd City Raleigh State: NC Zip: 27615 Department: AMS Amount: $4.900.00 Purpose: Wall Flashing repair design and consulting services for Whitted Buildings A & B Budget Code(s): 61370035-882000-30002 Vendor # 58369 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 7/1/2017 Approved by Board Yes❑No Agenda Date: This agreement is approved as to technical form and content: o sg y Department Director's Signature 2 74 '"'°" Date: 6/28/2017 Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency of insurance standards, specifications,and requirements: o sg aey Q(asa (01W-to 7/5/2017 Office of the Risk Management Officer Date: Financial Services -" This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: �—oos�gea ey: Office of the Chief Financial Officer ("I"t Date: 7/5/2017 Legal Services This agreement is approved as to legal form and sufficiency: �—oos�gea ey: Office of the County Attorney, 90( ,0! Date: 7/7/2017 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 2/17 9