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DocuSign Envelope ID:98D934B1-A47E-4D2E-9271-18CDFA20A1AD <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Riley Surveying, P.A. Party/Vendor Contact Person: Phillip W. Riely (Philr(cbrileysurveyinena.com) Contact Phone: <br /> 919.661.0742 Party/Vendor Address:3326 Durham Chapel Hill Blvd,Suite B-100 City Durham State:NC Zip:27707 Department:AMS Amount: <br /> 4200.00 Purpose:Provide additional survey data for two areas of the existine Hwy 70 tracts Budget Code(s):Split 50150 between Detention Facility <br /> (61370035-870000-10051)and EAC(61370035-870000-10020) Vendor#52775 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No <br /> ® Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date 12/4/18 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> 1P ndu A <br /> Department Director's Signature[µ, �,`�nsv Date:12/5/2018 <br /> Asset Management <br /> (Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction services content and specifications: <br /> Office of the Asset Management Directo )r�"5� " Date:12/5/2018 <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> 9 <br /> d ianu <br /> Office of the Risk Management OfficeW, rc, � Date:12/5/2018 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> a PL Office of the Chief Financial OfficerE Date: 3/4/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> �j ,r6 I <br /> Office of the County Attorney[a �.,.., Date:3/4/2019 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 10/17 <br />