R 2018-002 AMS - Fifth Wall - Laserfiche WebLink

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DocuSign Envelope ID: 16604FCD -37FD- 4038- 8DOC- 86OA7AA63162 ORANGE COUNTY - DEPARTMENT USE ONLY Department Party/Vendor Name: 5t' Wall Party/Vendor Contact Person: Jeff Spady (jeffk5thwallbdc.com) Contact Phone: 919.616.4715 Party/Vendor Address: 9601 Baileywick Rd City Raleigh State: NC Zip: 27615 Department: AMS Amount: $1,750.00 Purpose: Provide building facade condition assessment for MBF located at 1510 Hwy 86 North, Hillsborough Budget Code(s): 61370035- 870000 -10020 Vendor # 58369 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No[] Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 12/29/17 Approved by Board Yes❑ No® Agenda Date: This agreement is approved as to technical form and content: �D 5 "g E by Department Director's Signature l ' y�.« Date: 12/28/2017 Information Technologies (Applicable only to hardware /software purchases or related services) This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Risk Management Date: This agreement is approved for sufficiency of insurance standards, specifications, and requirements: D sg ea by Office of the Risk Management Office �QGsa (ar,u$d Date: 12/28/2017 Financial Services Pl This instrument has been pre- audited in the manner required by the Local Government Budget and Fiscal Control Act: D 5'g a by: Office of the Chief Financial Officer[ �°"'°" Date: 1/2/2018 Legal Services This agreement is approved as to legal form and sufficiency: D c Sig —by: Office of the County Attorney ido, 4� Date: 1/2/2018 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(aoraneecount. njc.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Revised 10/17 9 Date: