HomeMy WebLinkAboutR 2019-281 AMS - Riley Surveying Northern Campus Hwy 70 addl mapping survey DocuSign Envelope ID:E19BECF9-5262-4897-B2D4-lDA341E7561B
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Riley Surveying,P.A. Party/Vendor Contact Person: Phil Riley 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: 750 Purpose:Hwy 70 Northern Campus
Utility and easement Addendum 4 Budget Code(s): CIP 61370035-870000-10051 Vendor# 55186 (N/A if new vendor) Vendor is a BOCC
consultant? Yes❑No❑ Contract Type:(Check one)New❑ Renewal® Amendment ❑ Effective Date 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 u �lbm Date: 5/17/2019
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Asset Management
(Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction services content and specifications:
�oncusionnm by:
Office of the Asset Management Director) "6AA' Vbr*aJA, Date: 5/17/2019
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Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
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Office of the Risk Management Officer
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Financial Services
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
+�.� Date: 5/20/2019
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Legal Services Services
This agreement is approved as to legal f(, o�1 „f,;.^ ,•
gn by:
Office of the County Attorney jbtuv, rbbu� Date:5/20/2019
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkoran e�yncgoe�yncgo
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