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HomeMy WebLinkAboutR 2018-229 AMS - Riley Surveying Hwy 70 Tracts SurveyRevised 10/17 9 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 Ste-100 City Durham State: NC Zip: 27707 Department: AMS Amount: 28,700.00 Purpose: Boundary/Physical Surverys for Hwy 70 Properties Budget Code(s): split 50/50 between Detention Facility (61370035-870000-10051) and EAC (61370035-870000-10020) Vendor # 52775 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 5/21/18 Approved by Board Yes No Agenda Date: This agreement is approved as to technical form and content: 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: Office of the Risk Management Officer___________________________________ Date: _________ Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer ____________________________________ Date: _________ Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney __________________________________________Date: ________ Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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:_________ DocuSign Envelope ID: 9390DEFB-51EE-4441-8D3B-0C3A8B573C85