Orange County NC Website
Browse       Search
DocuSign Envelope ID: 106067F4-EOBA-48BA-B657-C7860C2AC89B <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Riley Surveying, P.A. Party/Vendor Contact Person: Phil Riley (philr@rileysurveyingpa.com) <br /> Contact Phone: (919)667-0742 Party/Vendor Address: 3326 Durham Chapel Hill Blvd. Suite B-100 City Durham <br /> State: NC Zip: 27707 Department: AMS Amount: $5,400 Purpose: Major Business Forms Property <br /> Boundary/Physical Survey Budget Code(s): 61370035-870000-10020 ($2,700) & 61370035-870000-10051 ($2,700) <br /> total $5,400 Vendor# 52775 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: <br /> (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 11/6/2017 Approved by Board Yes' No <br /> Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> �--DOCUSigned by: <br /> Department Director's Signature ;4# °p Date: 10/25/2017 <br /> �-9FROOA40Gf04490... <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 /> Doosgoea by: <br /> QGsa(owu{rb 10/26/2017 <br /> Office of the Risk Management Office Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> 06' <br /> Docsigea by: <br /> Office of the Chief Financial OfficerE Date: 10/26/2017 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> �--DxuSignetl by: <br /> �b�An 41°`'(6 10/27/2017 <br /> Office of the County Attorney Date: <br /> 99—FAAd°33EDAA0400... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 2/17 5 <br />