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DocuSign Envelope ID:8481 F610-7928-41352-80M-934D6886431 D <br /> ORANGE COUNTY-DEPARTMENT USE ONLY EiDS <br /> Department <br /> Party/Vendor Name: Riley Surveying philr@rileysurveyingpa.co <br /> Party/Vendor Contact Person: Phillip Riley,philr rileysurveingpa.com <br /> Contact Phone: 919.667.0742 Party/Vendor Address: 3326 Durham Chapel Hill Blvd. Ste B-100 City Durham State: <br /> NC Zip: 27707 Department: AMS Amount: 1950.00 Purpose: OC Skills Development Center TOPO Survey Budget <br /> Code(s): 61370035-870000-30029 Vendor#52775 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No <br /> ® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date April 22, 2016 Approved by <br /> Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> D.c Signed by: <br /> Department Director's Signature Date: <br /> 4/19/2016 <br /> 9FAR�A�6CFfiA��R <br /> Information Technologies <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 insurance standards, specifications, and requirements: <br /> D I <br /> S g tl by: <br /> Office of the Risk Management Officer �66 Date: 4/20/2016 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> oc ly <br /> Office of the Chief Financial Officer Date: 4/20/2016 <br /> ffi 9 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> �olu del wts <br /> Office of the County AttorneyocuSignetley Date: 4/22/2016 <br /> x <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran eg countync.gov <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 /> i <br /> k <br /> f <br /> Revised 1/16 4 <br />