HomeMy WebLinkAboutR 2019-139 AMS - Riley Surveying Northern Campus additional survey data amendment DocuSign Envelope ID:98D934B1-A47E-4D2E-9271-18CDFA20A1AD
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Riley Surveying, P.A. Party/Vendor Contact Person: Phillip W. Riely (Philr(cbrileysurveyinena.com) Contact Phone:
919.661.0742 Party/Vendor Address:3326 Durham Chapel Hill Blvd,Suite B-100 City Durham State:NC Zip:27707 Department:AMS Amount:
4200.00 Purpose:Provide additional survey data for two areas of the existine Hwy 70 tracts Budget Code(s):Split 50150 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 12/4/18 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and content:
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Department Director's Signature[µ, �,`�nsv Date:12/5/2018
Asset Management
(Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction services content and specifications:
Office of the Asset Management Directo )r�"5� " Date:12/5/2018
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
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Office of the Risk Management OfficeW, rc, � Date:12/5/2018
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
a PL Office of the Chief Financial OfficerE Date: 3/4/2019
Legal Services
This agreement is approved as to legal form and sufficiency:
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Office of the County Attorney[a �.,.., Date:3/4/2019
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:
Revised 10/17