HomeMy WebLinkAboutR 2016-185-E AMS - Riley Surveying, P.A. for SportsPlex Fieldhouse boundary & topographic survey DocuSign Envelope ID: 5547CB41-3596-4AF6-8A17-2B8F8A096240
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Riley Surveying, P.A. Party/Vendor Contact Person: Phil Riley Contact Phone: 919-667-0742
Party/Vendor Address: 3326 Durham Chapel Hiill Blvd, Ste B-100 City Durham State: NC Zip: 27707 Department:
AMS Amount: $4.400 Purpose: SportsPlex Fieldhouse boundary& topographic survey Budget Code(s): 53530030-
870000 Vendor#52775 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check
one) New ® Renewal ❑ Amendment ❑ Effective Date 03/01/2016 Approved by Board Yes❑ No❑
Agenda Date:
This agreement is approved as to technic gtndr,9ntent:
Department Director's Signature 7 Date3/16/2016
9E880A46CF64498...
Information Technolosies
(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 i s� ords, specifications,and requirements:
Q�Sa r,Orv�c,�16
Office of the Risk Management Officer Date: 3/16/2016
7FDCF91 6800498...
Financial Services
This instrument has been pre-audited in the 7(n x,�aiw4:by the Local Government Budget and Fiscal Control Act:
��.�1� 3/16/2016
Office of the Chief Financial Officer Date:4E 181 ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
uSigned by:,'�t,,
Office of the County Attorney
56Z, r6 v s Date: 3/17/2016
EAA3D33ED8A8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.Rov
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 1/16 4