HomeMy WebLinkAboutR 2019-532 DEAPR - Riley Surveying Twin Creeks additional survey work DocuSign Envelope ID:C1E6582F-30E7-4FFE-8A42-B792ACDE7CD4
ORANGE COUNTY DEPARTMENT USE ONLY
Party/Vendor Name: Riley Surveying: P.A. Party/Vendor Contact Person: Jose Torres Contact Phone:919-667-0742
Party/Vendor Address: 3326 Durham Chapel Hill Blvd Suite 13-100 City Durham State:NC Zip. 27707 Department:
DEAPR Amount: $3,600 Purpose: Add survey work Budget Code(s): 61370035 860000 20003 Vendor # 52775
(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal
❑ Amendment ❑ Effective Date August 2,2019 Approved by Board Yes❑No® 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:
C1)611CFA1D507A495
Docusigned by:
Department Director's Signatuam' Sfoail Date: 8/2/2019
Agreements for emergency service..,-. . -. ,1 ,abject 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 Technologies
(Applicable only to hardwarelsotware 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 sufficienc--f�ocu5 g ed by:r'"'�'rds,specifications,and requirements:
Office of the Risk Management Officer USX LQl^ln� 6 Date: 8/2/2019
7FDCF917e800498.
Financial Services
This instrument has been pre-audited i~ pocuSigned by: the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Office Dail: 8/6/2019
7D4E5981ACC1409.
Legal Services
This agreement is approved as trt'�o cu5 fined by: —Ticiency:
Office of the County Attorney[�6�i, Pk; 5 Date: 8/7/2019
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: snngersoll@orangecountyne.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 12/18 4