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DocuSign Envelope ID:E19BECF9-5262-4897-B2D4-lDA341E7561B <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Riley Surveying,P.A. Party/Vendor Contact Person: Phil Riley Contact Phone: 919-667-0742 Party/Vendor Address: 3326 <br /> Durham Chapel Hill Blvd, Ste B-100 City Durham, State:NC Zip:27707 Department:AMS Amount: 750 Purpose:Hwy 70 Northern Campus <br /> Utility and easement Addendum 4 Budget Code(s): CIP 61370035-870000-10051 Vendor# 55186 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes❑No❑ Contract Type:(Check one)New❑ Renewal® Amendment ❑ Effective Date Approved by Board Yes❑No <br /> ❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> �on��s�ypn-yee ay: <br /> Department Director's Signature u �lbm Date: 5/17/2019 <br /> 71 FF:i7:iACfM:dFF <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 /> �oncusionnm by: <br /> Office of the Asset Management Director) "6AA' Vbr*aJA, Date: 5/17/2019 <br /> 71 FF373AC W54FF <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> o ,&,gr �ff6 Date:d by: <br /> QGS11 1� 5/17/2019 <br /> Office of the Risk Management Officer <br /> 7Fnf:F9+7fiftD0498 Ip <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> on..syn w by <br /> Office of the Chief Financial Officer <br /> +�.� Date: 5/20/2019 <br /> 7rAFTM1Af:f:14N <br /> Legal Services Services <br /> This agreement is approved as to legal f(, o�1 „f,;.^ ,• <br /> gn by: <br /> Office of the County Attorney jbtuv, rbbu� Date:5/20/2019 <br /> FAMrl,.3FnaM"LL, <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkoran e�yncgoe�yncgo <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 />