HomeMy WebLinkAboutR 2016-199-E AMS - Riley Surveying, P.A. survey for the Environment and Agriculture Center project according to proposal dated 3-9-2016 DocuSign Envelope ID:01D42433-88CA-4F86-A8BE-A18CF97E030D
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 Hill Road, Suite B-100 City Durham State:NC Zip:27707 Department:
AMS Amount: $5,700 Purpose: EAC Surveying;Services Budget Code(s): 61370035-870000-10020 Vendor#52775
(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal
❑ Amendment ❑ Effective Date 4/1/16 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
U Sg y 4/2/2016
Department Director's Signature� °�'"'°" Date:
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:
U S9 dby
Office of the Risk Management Office QUsa(awuflo Date: 4/3/2016
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
U,d
Office of the Chief Financial OfficerP�_153P�,e1 a Date:
4/5/2016
Legal Services
This agreement is approved as to legal form and sufficiency:
�
D 5 g dby:
Office of the County Attorney 66� r0buvfs Date: 4/6/2016
s.�naRa�
I
Clerk to the Board !
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd a,oran eg coun nc. ov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
I
Revised 1/16 4