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DocuSign Envelope ID: 5547CB41-3596-4AF6-8A17-2B8F8A096240 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Riley Surveying, P.A. Party/Vendor Contact Person: Phil Riley Contact Phone: 919-667-0742 <br /> Party/Vendor Address: 3326 Durham Chapel Hiill Blvd, Ste B-100 City Durham State: NC Zip: 27707 Department: <br /> AMS Amount: $4.400 Purpose: SportsPlex Fieldhouse boundary& topographic survey Budget Code(s): 53530030- <br /> 870000 Vendor#52775 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check <br /> one) New ® Renewal ❑ Amendment ❑ Effective Date 03/01/2016 Approved by Board Yes❑ No❑ <br /> Agenda Date: <br /> This agreement is approved as to technic gtndr,9ntent: <br /> Department Director's Signature 7 Date3/16/2016 <br /> 9E880A46CF64498... <br /> Information Technolosies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of i s� ords, specifications,and requirements: <br /> Q�Sa r,Orv�c,�16 <br /> Office of the Risk Management Officer Date: 3/16/2016 <br /> 7FDCF91 6800498... <br /> Financial Services <br /> This instrument has been pre-audited in the 7(n x,�aiw4:by the Local Government Budget and Fiscal Control Act: <br /> ��.�1� 3/16/2016 <br /> Office of the Chief Financial Officer Date:4E 181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> uSigned by:,'�t,, <br /> Office of the County Attorney <br /> 56Z, r6 v s Date: 3/17/2016 <br /> EAA3D33ED8A8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.Rov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 1/16 4 <br />