R 2017-544-E AMS - Riley Survey, P.A. to divide the Southern Campus into three parcels

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DocuSign Envelope ID:6D905FF6-37EA-46CF-B16C-C92FF073279D 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: 5,700.00 Purpose: Divide the Southern Campus into three parcels. Budget Code(s): 61370035-870000-10052 Vendor# 52775 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 10/9/17 Approved by Board Yes' No Agenda Date: This agreement is approved as to technical form and content: Department Director's Signature[q7"1"°"' Date:10/2/2017 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: Office of the Risk Management Office "It' Date:10/2/2017 Financial Services ( This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: 10/4/2017 Office of the Chief Financial Officer1 21-21— Date: Legal Services This agreement is approved as to legal form and sufficiency: aed ev: Office of the County Attorney �eG n Yeticn`s Date: 10/5/2017 CEAA3o33EOeAa465_ 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