HomeMy WebLinkAboutR 2017-544-E AMS - Riley Survey, P.A. to divide the Southern Campus into three parcels DocuSign Envelope ID:6D905FF6-37EA-46CF-B16C-C92FF073279D
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: 5,700.00 Purpose: Divide the Southern Campus into three parcels.
Budget Code(s): 61370035-870000-10052 Vendor# 52775 (N/A if new vendor) Vendor is a BOCC consultant?
Yes ❑ No Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 10/9/17 Approved
by Board Yes' No Agenda Date:
This agreement is approved as to technical form and content:
Department Director's Signature[q7"1"°"' Date:10/2/2017
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:
Office of the Risk Management Office "It' Date:10/2/2017
Financial Services
( This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
10/4/2017
Office of the Chief Financial Officer1 21-21— Date:
Legal Services
This agreement is approved as to legal form and sufficiency:
aed ev:
Office of the County Attorney �eG n Yeticn`s Date: 10/5/2017
CEAA3o33EOeAa465_
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