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DocuSign Envelope ID:73B69093-ACDD-453B-9F20-098680D97CB1 <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: Riley Surveying, P.A. Party/Vendor Contact Person: Phillip W. Riley <br /> (Philr @rileysurveyingpa.com) Contact Phone: 919.667.0742 Party/Vendor Address: 3326 Durham Chapel <br /> Hill Blvd Ste B-100 City Durham State: NC Zip: 27707 Department: AMS Amount: 0.00 Purpose: Contract <br /> Amendment to extend completion date of existing contract 8A89E5D4-F8B5-49AF-8D96-4FABAAC6420A <br /> Budget Code(s): 61370035-870000-10051 Vendor#52775 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑ No Contract Type: (Check one) New ❑ Renewal ❑ Amendment ® Effective Date June 13, 2017 <br /> Approved by Board Yes❑No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> o sg y <br /> Department Director's Signatur 241 74 p"°" 6/13/2017 <br /> �y�nAaa�,�a4yd_ <br /> Date: <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 /> oos�gea ey: <br /> Qlasa(01W-to 6/15/2017 <br /> Office of Risk Managemen Date: <br /> Financial Services <br /> -" This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> rt)N�—oos�qea ey: <br /> Office of the Chief Financial Officer ti Date: 6/17/2017 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> �—oos�gea ey: <br /> Office of the County Attorne )0�`'"'�otiwts Date: 6/20/2017 <br /> tY Y��,��3a��,,.� <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 2/17 <br />