HomeMy WebLinkAboutR 2020-200 AMS - Riley Surveying Justice Facility topo DocuSign Envelope ID: 1700EA8E-15AC-4466-AF9D-985C85C15E55
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: $4,550.00 Purpose: To
provide topographic and utility surveying at the Justice Facility as per attached proposal. Budget Code(s):
61370035-870000-30002 Vendor# 52775 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No®
Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 2/26/2020 Approved by Board
Yes❑No® Agenda Date:N/A
This agreement is approved as to technical form and content and I as Department Director affirmatively state work
on this project has not been initiated prior to execution of the agreement:
DocuSigned by:
Department Director's Signature12DD9CD6B81844C5_..
� 9MA Date:2/24/2020
Agreements for emergency services or : oject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that
was addressed: N/A
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficient--zf:--uSignea ny:`� `ds, specifications,and requirements:
Office of the Risk Management Officer QCt$a (4�6 Date:2/24/2020
7FDCF0176800408...
Financial Services
os This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
f Act: �ocusigned by:
IV. s� 3/11/2020
Office of the Chief Financial Officer � �. Date:
704E5181ACC1409...
Legal Services
This agreement is approved as tc - Docusigned by: - ;iency:
Office of the County Attorney m hmv, Date: 3/12/2020
4C5FSCDDFOB94F8...
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: 1700EA8E-15AC-4466-AF9D-985C85C15E55
Revised 11/19
10