HomeMy WebLinkAboutR 2019-279 AMS - Riley Surveying Northern Campus additional services DocuSign Envelope ID:43FC2FFB-67E2-4FBC-A5DF-06C16A5500B6
ORANGE COUNTY—DEPARTMENT USE ONLY
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Department
Party/Vendor Name: Riley Surveying, P.A. Party/Vendor Contact Person: Phil Riley Contact Phone: 919-667-0742 Party/Vend
Durham Chapel Hill Blvd, Ste B-100 City Durham, State: NC Zip: 27707 Department: AMS Amount: $2800 Purpose: Hwy 70
Additional Mapping&Field Survey Addendum 3 Budget Code(s): CIP 61370035-870000-10051 Vendor#55186 (N/A if new vem
BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date Al
Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature I—LuL 06m aA, Date:5/15/2019
21 EF373ACD454EF...
Asset Management
(Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction services content and
DocuSigned by:
PLIU& VGV%aJA, 5/15/2019
Office of the Asset Management DirectorDate:
21 EF373ACD454EF...
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
DocuSigned by:
Office of the Risk Management Officer 59USA, l o�6 Date: 5/15/2019
71`DCF9176800498... IDS
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
DocuSigned by:
Office of the Chief Financial Officer 0././. Date: 5/16/2019
7D4F5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:''..tt�,, 5/16/2 019
Office of the County Attorney f75L,, r6G t yv Date:
EAA3D33ED8A8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkoran eg countync•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