HomeMy WebLinkAboutR 2016-558-E AMS - Riley Surveying, P.A. for Cameron Street sidewalk topographic survey and research DocuSign Envelope ID: 5F1BB072-D2E7-4676-BEF7-6195EB442D5C
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Riley Surveying, P.A. Party/Vendor Contact Person: Phil Riley Contact Phone: 919-667-0742,
email philr 2crileysurveyingpa.co Party/Vendor Address: 3326 Durham Chapel Hill Blvd, Suite B-100 City Durham
State: NC Zip: 27707 Department: AMS Amount: $1,600 Purpose: Cameron Street sidewalk topographic survey and
research Budget Code(s): 61370035-870000-30001 Vendor # 52775 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑ NoM Contract Type: (Check one) New M Renewal ❑ Amendment ❑ Effective Date
9/26/2016 Approved by Board Yes❑NoM Agenda Date:
This agreement is approved as to technical form and content:
D.-S.g..d by:
Department Director's Signature Date: 10/7/2016
Information
(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 Sig..d by:
Office of the Risk Management Office Date:10/8/2016
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
D.-Sig-d by:
Off 0_&� 10/10/2016
Office of the Chief Financial leer Date:
Legal Services
This agreement is approved as to legal form and sufficiency:
Docu Signed b.
�b(u yetis 10/10/2016
Office of the County Attorney Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Doll ovdC&_orangecounjync.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 6/16 5