HomeMy WebLinkAboutR 2019-409 Animal Svc - Riley Surveying contract DocuSign Envelope ID: FOFFDO49-5CF1-497C-8288-4E926CBOCCC4
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Riley Surveying Party/Vendor Contact Person: Philip Riley Contact Phone: 919-667-0742
Party/Vcndor Address:3326 Durham Chapel Ilill Blvd Suite B-100 City Durham State:NC Zip: 27707 Department:
Animal Services Amount: . 1 800 Purpose: Survey Work Budget Code(s): 10215220 630000 Vendor#52775 (NIA
if new vendor) Vendor is a BOCC consultant? Yes ❑ NoN Contract Type: (Check one)New N Renewal ❑
Amendment ❑ Effective Date 7/2/2019 Approved by Board Yes❑NoN Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work on
this project has not been initiated prior to execution of the agreement:
Do U&gned by:
Department Director's Signatur
�f*� �o�b Date:
7/3/2019
Agreements for emergency services ur EupolleUlu Ilk subject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that was
addressed:
Information Technologic
(Applicable only to hardnlarelsoftivare 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:
1 0...&9n d by
Office of the Risk Management Officer
�Sa �a1ti..6 Datc7/3/2019
Q 9
FI]CF-1 iPl�ldAf
Financial Services
This instrument has been pre-audited in the manner requited by the I.ocaL Government Budget and Fiscal Control Act:
,, 7/5/2019
Office of the Chief Financial Officer[ Date:
CNCt13'FCC1A]f
Legal Services
This agreement is approved as to legal form and sufficiency:
os y.a by:
C
Office of the County Attorney l tkL harie-4so Date: 7/8/2019
eraw:oszscors
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll®or•angecountync.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 12118 4