HomeMy WebLinkAboutR 2020-183 AMS - Riley Surveying Whitted topo DocuSign Envelope ID: B9F3124F-9A4E-42FA-B05D-SF2D74490DB5
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Riley Surveying, P.A. Party/Vendor Contact Person: Jose Torres:
jtorres(&rileysurveyingpa.com Contact Phone: 919.667.0742 Party/Vendor Address: 3326 Durham Chapel Hill
Blvd, Suite B-100 City Durham State: NC Zip: 27707 Department: AMS Amount: $8,650.00 Purpose: To
provide topographic and utility surveying at Whitted Complex as per attached proposal. Budget Code(s): 61370035-
870000-10028 Vendor# 52775 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract
Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 2/26/2020 Approved by Board Yes❑
No® Agenda Date:N/A
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:
DocuSigned by:
Department Director's SignatureIS
im• 9MA Date: 2/24/2020
2DD9CD6B81844C5...
Agreements for emergency services or repair are not suuject 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: N/A
Information Technologies
(Applicable only to hardware/software 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 WocuSiggned_by:
.I rds,specifications,and requirements:
aUSX CbQ 6 2/24/2020
Office of the Risk Management Office Date:
7F6CF8176800498...
Financial Services
os This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
V Act: Docusigned by:
r Office of the Chief Financial Officer 4 Date:2/25/2020
704E51S1ACC1409...
Legal Services
This agreement is approved as tc[4C5F3CDDFOB94F6
Docu Signed by: iency:
Office of the County Attorney6' whl.Vl vu Date: 3/9/2020
...
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 11/19
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DocuSign Envelope ID:B9F3124F-9A4E-42FA-B05D-8F2D74490DB5
Revised 11/19
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