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DocuSign Envelope ID: FOFFDO49-5CF1-497C-8288-4E926CBOCCC4 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Riley Surveying Party/Vendor Contact Person: Philip Riley Contact Phone: 919-667-0742 <br /> Party/Vcndor Address:3326 Durham Chapel Ilill Blvd Suite B-100 City Durham State:NC Zip: 27707 Department: <br /> Animal Services Amount: . 1 800 Purpose: Survey Work Budget Code(s): 10215220 630000 Vendor#52775 (NIA <br /> if new vendor) Vendor is a BOCC consultant? Yes ❑ NoN Contract Type: (Check one)New N Renewal ❑ <br /> Amendment ❑ Effective Date 7/2/2019 Approved by Board Yes❑NoN Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> Do U&gned by: <br /> Department Director's Signatur <br /> �f*� �o�b Date: <br /> 7/3/2019 <br /> Agreements for emergency services ur EupolleUlu Ilk subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that was <br /> addressed: <br /> Information Technologic <br /> (Applicable only to hardnlarelsoftivare 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 /> 1 0...&9n d by <br /> Office of the Risk Management Officer <br /> �Sa �a1ti..6 Datc7/3/2019 <br /> Q 9 <br /> FI]CF-1 iPl�ldAf <br /> Financial Services <br /> This instrument has been pre-audited in the manner requited by the I.ocaL Government Budget and Fiscal Control Act: <br /> ,, 7/5/2019 <br /> Office of the Chief Financial Officer[ Date: <br /> CNCt13'FCC1A]f <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> os y.a by: <br /> C <br /> Office of the County Attorney l tkL harie-4so Date: 7/8/2019 <br /> eraw:oszscors <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll®or•angecountync.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 12118 4 <br />