R 2016-558-E AMS - Riley Surveying, P.A. for Cameron Street sidewalk topographic survey and research

Browse Search

DocuSign Envelope ID: 5F1BB072-D2E7-4676-BEF7-6195EB442D5C ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Riley Surveying, P.A. Party/Vendor Contact Person: Phil Riley Contact Phone: 919-667-0742, email philr 2crileysurveyingpa.co Party/Vendor Address: 3326 Durham Chapel Hill Blvd, Suite B-100 City Durham State: NC Zip: 27707 Department: AMS Amount: $1,600 Purpose: Cameron Street sidewalk topographic survey and research Budget Code(s): 61370035-870000-30001 Vendor # 52775 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ NoM Contract Type: (Check one) New M Renewal ❑ Amendment ❑ Effective Date 9/26/2016 Approved by Board Yes❑NoM Agenda Date: This agreement is approved as to technical form and content: D.-S.g..d by: Department Director's Signature Date: 10/7/2016 Information (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: D Sig..d by: Office of the Risk Management Office Date:10/8/2016 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: D.-Sig-d by: Off 0_&� 10/10/2016 Office of the Chief Financial leer Date: Legal Services This agreement is approved as to legal form and sufficiency: Docu Signed b. �b(u yetis 10/10/2016 Office of the County Attorney Date: Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Doll ovdC&_orangecounjync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Revised 6/16 5