HomeMy WebLinkAboutR 2019-556 AMS - Riley Surveying Northern Campus addendum 5 DocuSign Envelope ID: BCD73544-6839-4F10-91D7-06F26CCC9F02
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Riley Surveying, PA. 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: $1,250 Purpose: Remove
Code(s): 61370035-870000-10051 Vendor#55186 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract 7
New® Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date: 8/21/2018
This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has
prior to execution of the agreement:
DocuSigned by:
Department Director's Signature Sim• 9MA Date:8/19/2019
Agreements for emergency services or repair are not suoject to the above affirmation. If services related to this agreement have alread:
completed please briefly describe the nature of the emergency condition that was addressed: /
Risk Management
This agreement is approved for sufficienc— -roocus9ued by: -"'ds,specifications,and requirements:
Office of the Risk Management Officer 1
66 (��6 Date: 8/19/2019
7FDCF91 7 680 04 98.
Financial Services
This instrument has been pre-audited in Docusigned by: he Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date:8/19/2019
7D4E51S1ACC1400.
Legal Services
This agreement is approved as tc Docusigned by: ciency:
, 66A, K6�C '6 8/20/2019
Office of the County Attorney EAA,D33ED8A84S5.. Date:
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 12/18