HomeMy WebLinkAboutR 2017-179-E AMS - Riley Surveying DocuSign Envelope ID: E271A49A-1BD2-4431-90DF-FC9C4F52CE69
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Riley Surveying,P.A. Party/Vendor Contact Person: Phillip Riley(philr @rileysurveyingpa.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: $8,750.00 Purpose: Topographic Survey of the Whitted Complex
Budget Code(s): 61370035-870000-30001 Vendor # 52775 (N/A if new vendor) Vendor is a BOCC consultant?
Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 5/25/2017
Approved by Board Yes❑No Agenda Date:
This agreement is approved as to technical form and content:
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fly 7 paw 5/30/2017
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:
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(01W-to 5/31/2017
Office of the Risk Management Office z„,,,F„,„ Date:
Financial Services
'7," 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 6/1/2017
Legal Services
This agreement is approved as to legal form and sufficiency:
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Office of the County Attorney_0�„. �otiwts Date: 6/1/2017
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 2/17 5