HomeMy WebLinkAboutR 2016-224-E AMS - Riley Surveying, P.A. for OC Skills Development Center TOPO Survey DocuSign Envelope ID:8481 F610-7928-41352-80M-934D6886431 D
ORANGE COUNTY-DEPARTMENT USE ONLY EiDS
Department
Party/Vendor Name: Riley Surveying philr@rileysurveyingpa.co
Party/Vendor Contact Person: Phillip Riley,philr rileysurveingpa.com
Contact Phone: 919.667.0742 Party/Vendor Address: 3326 Durham Chapel Hill Blvd. Ste B-100 City Durham State:
NC Zip: 27707 Department: AMS Amount: 1950.00 Purpose: OC Skills Development Center TOPO Survey Budget
Code(s): 61370035-870000-30029 Vendor#52775 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No
® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date April 22, 2016 Approved by
Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
D.c Signed by:
Department Director's Signature Date:
4/19/2016
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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:
D I
S g tl by:
Office of the Risk Management Officer �66 Date: 4/20/2016
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
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Office of the Chief Financial Officer Date: 4/20/2016
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Legal Services
This agreement is approved as to legal form and sufficiency:
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Office of the County AttorneyocuSignetley Date: 4/22/2016
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran eg countync.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:
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Revised 1/16 4