R 2017-205-E DEAPR - Riley Surveying, P.A. for Churton St. - River Park bus stop TOPO survey

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DocuSign Envelope ID:7B15290B-6892-4E01-8746-26A88BA46D09 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Riley Surveying, P.A. Party/Vendor Contact Person: Phil Riley (philr @rileysurveyingpa.com) Contact Phone: (919)667-0742 Party/Vendor Address: 3326 Durham Chapel Hill Blvd. Suite B-100 City Durham �os State: NC Zip: 27707 Department: DEAPR Amount: $2,200.00 Purpose: Churton Street/River Park Bus Stop, f1T Topographic Survey Budget Code(s): 61370035-870000-20032 Vendor# 52775 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 5/25/2017 Approved by Board Yes❑No Agenda Date: This agreement is approved as to technical form and content: �—oos�yea oy: Gaut, S}atn,cit 5/17/2017 Department Director's Signature „FA,nsazo9s 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: o ss aey Office of the Risk Management Office aGsa C611"".ffo Date: 5/31/2017 �,�0�9, aao<sa_ Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: �—oos�sea ey: Office of the Chief Financial Officer (.1" Date: 6/1/2017 Legal Services This agreement is approved as to legal form and sufficiency: �—oos�sea ey: Office of the County Attorney )0t e roh w{s Date: 6/1/2017 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.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 2/17 5