2017-230-E AMS - Riley Survey, P.A. - Contract Amendment to extend completion date of existing contract

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DocuSign Envelope ID:73B69093-ACDD-453B-9F20-098680D97CB1 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Riley Surveying, P.A. Party/Vendor Contact Person: Phillip W. Riley (philr @rileysurveyingpa.com) Contact Phone: 919-667-0742 Party/Vendor Address: 3326 Durham Chapel HIll Blvd., Suite B-100 City Durham State: North Carolina Zip: 27707 Department: AMS Amount: $9,400.00 Purpose: Surveying services for Old Courthouse and Jail Budget Code(s): 61370035-870000-10051 Vendor# 52775 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 1/25/17 Approved by Board Yes❑No Agenda Date: This agreement is approved as to technical form and content: r—DOCUSignetl by. 1/22/2017 Department Directors Si nature 2r «< , 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: r—DOCUSignetl by: Aisa CovtAdo 1/24/2017 Office of the Risk Management Officer, Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: �� DocuSignetl by. 5/17/2017 Office of the Chief Financial Office rEl°'N °" °" Date: Legal Services This agreement is approved as to legal form and sufficiency: Doosigetl by: Office of the County Attorney )06 �0�` Date: 5/17/2017 EDHA3465... 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 6/16 5