R 2017-200-E AMS - Riley Surveying, P.A. for topographic survey at Whitted Complex

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DocuSign Envelope ID: E271A49A-1BD2-4431-90DF-FC9C4F52CE69 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Riley Surveying,P.A. Party/Vendor Contact Person: Phillip Riley(philr @rileysurveyingpa.com) Contact Phone: 919.667.0742 Party/Vendor Address: 3326 Durham Chapel Hill Blvd. Ste B-100 City Durham State: NC Zip: 27707 Department: AMS Amount: $8,750.00 Purpose: Topographic Survey of the Whitted Complex Budget Code(s): 61370035-870000-30001 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: o sg y fly 7 paw 5/30/2017 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: o sg aey Q(asa (01W-to 5/31/2017 Office of the Risk Management Office z„,,,F„,„ Date: Financial Services '7," This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: rq �—oos�gea ey: Office of the Chief Financial Officer 6/1/2017 Legal Services This agreement is approved as to legal form and sufficiency: �—oos�gea ey: Office of the County Attorney_0�„. �otiwts 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