HomeMy WebLinkAboutR 2015-586-E AMS - Riley Surveying, P.A. - Detention Facility field survey DocuSign Envelope ID:8FF17345-E070-4A5A-B069-2974E2219CD3
EDORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Riley Surveying,P.A. Party/Vendor Contact Person: Phil Riley Contact Phone: 919-667-0742
Party/Vendor Address:3326 Durham Chapel Hill Blvd. Suite B-100 City Durham State: NC Zip: 27707 Department:
Asset Management Amount: $9700 Purpose: Detention Facility field survey Budget Code(s): 61370035-870000-
10051 Vendor 4 52775 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check
one) New ® Renewal ❑ Amendment ❑ Effective Date 10/22/2015 Approved by Board Yes❑ No®
Agenda Date:N/A
This agreement is approved as to technical form and content:
5y;uSigned by:
Department Director's Signature 7L"°rool", Date: 10/29/2015
9E880A46CF64498...
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:
PCs&DocuSigned""by:''111L Office of the Risk Management Officer (,bvvt,e,ttb Date: 11/4/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the mann � l;"Wy.the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date: 11/4/2015
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7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and �9'eed by:
Office of the County Attorney �°b�t,VfS Date: 11/5/2015
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DollgydLvormigecouj Utnc.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 10/14 4