R 2016-199-E AMS - Riley Surveying, P.A. survey for the Environment and Agriculture Center project according to proposal dated 3-9-2016

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DocuSign Envelope ID:01D42433-88CA-4F86-A8BE-A18CF97E030D ORANGE COUNTY—DEPARTMENT USE ONLY Department 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 Road, Suite B-100 City Durham State:NC Zip:27707 Department: AMS Amount: $5,700 Purpose: EAC Surveying;Services Budget Code(s): 61370035-870000-10020 Vendor#52775 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 4/1/16 Approved by Board Yes❑No® Agenda Date: This agreement is approved as to technical form and content: U Sg y 4/2/2016 Department Director's Signature� °�'"'°" Date: 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: U S9 dby Office of the Risk Management Office QUsa(awuflo Date: 4/3/2016 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: U,d Office of the Chief Financial OfficerP�_153P�,e1 a Date: 4/5/2016 Legal Services This agreement is approved as to legal form and sufficiency: � D 5 g dby: Office of the County Attorney 66� r0buvfs Date: 4/6/2016 s.�naRa� I Clerk to the Board ! Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd a,oran eg coun nc. ov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: I Revised 1/16 4