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DocuSign Envelope ID: C1B6D32A-C076-4A37-8464-9C14EB62AF89 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: 5th Wall Building Diagnostics Party/Vendor Contact Person: Jeff Spady <br /> (jeff @5thwallbdc.com) Contact Phone: 919.616.4715 Party/Vendor Address: 9601 Baileywick Rd City Raleigh <br /> State: NC Zip: 27615 Department: AMS Amount: $5850.00 Purpose: 501 W.Franklin Street(Chapel Hill Visitor <br /> Center) Roof Replacement Design and Consulting Services for replacement of slate roof sector Budget Code(s): <br /> 61370035-882000-30002 Vendor# 58369 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No <br /> Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 7/17/2017 Approved by Board <br /> Yes❑No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> o sg y <br /> Department Director's Signature '""°" Date: 7/8/2017 <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 /> o sg aey <br /> Office of the Risk Management Office aGsa(01W-to Date: 7/10/2017 <br /> �,�oCr7a08aaQa_ <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 /> �—oos�gea ey: <br /> Office of the Chief Financial Officer ("1" Date: 7/10/2017 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> �—oos�gea ey: <br /> Office of the County Attorney )0t �o' Date: 7/10/2017 <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 2/17 <br /> 9 <br />