R 2015-586-E AMS - Riley Surveying, P.A. - Detention Facility field survey

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DocuSign Envelope ID:8FF17345-E070-4A5A-B069-2974E2219CD3 EDORANGE COUNTY—DEPARTMENT USE ONLY Deuartment Party/Vendor Name: Riley Surveying,P.A. Party/Vendor Contact Person: Phil Riley Contact Phone: 919-667-0742 Party/Vendor Address:3326 Durham Chapel Hill Blvd. Suite B-100 City Durham State: NC Zip: 27707 Department: Asset Management Amount: $9700 Purpose: Detention Facility field survey Budget Code(s): 61370035-870000- 10051 Vendor 4 52775 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 10/22/2015 Approved by Board Yes❑ No® Agenda Date:N/A This agreement is approved as to technical form and content: 5y;uSigned by: Department Director's Signature 7L"°rool", Date: 10/29/2015 9E880A46CF64498... 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 sufficiency of insurance standards,specifications,and requirements: PCs&DocuSigned""by:''111L Office of the Risk Management Officer (,bvvt,e,ttb Date: 11/4/2015 7FDCF9176800498... Financial Services This instrument has been pre-audited in the mann � l;"Wy.the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer Date: 11/4/2015 �"�p 7D4E5181ACC1409... Legal Services This agreement is approved as to legal form and �9'eed by: Office of the County Attorney �°b�t,VfS Date: 11/5/2015 q qEeaA 846 6... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ DollgydLvormigecouj Utnc.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 10/14 4