HomeMy WebLinkAboutR 2017-181-E AMS - Riley Surveying, P.A. for surveying services for old courthouse and jail DocuSign Envelope ID:8A89E5D4-F8B5-49AF-8D96-4FABAAC6420A
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Riley Surveying, P.A. Party/Vendor Contact Person: Phillip W. Riley
(philr @rileysurveyingpa.com) Contact Phone: 919-667-0742 Party/Vendor Address: 3326 Durham Chapel HIll Blvd.,
Suite B-100 City Durham State: North Carolina Zip: 27707 Department: AMS Amount: $9,400.00 Purpose:
Surveying services for Old Courthouse and Jail Budget Code(s): 61370035-870000-10051 Vendor# 52775 (N/A if
new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑
Amendment ❑ Effective Date 1/25/17 Approved by Board Yes❑No Agenda Date:
This agreement is approved as to technical form and content:
r—DOCUSignetl by.
1/22/2017
Department Directors Si nature 2r «< , 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:
r—DOCUSignetl by:
Aisa CovtAdo 1/24/2017
Office of the Risk Management Officer,
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
�� DocuSignetl by.
5/17/2017
Office of the Chief Financial Office rEl°'N °" °" Date:
Legal Services
This agreement is approved as to legal form and sufficiency:
Doosigetl by:
Office of the County Attorney )06 �0�` Date: 5/17/2017
EDHA3465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.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 6/16 5