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DocuSign Envelope ID: BCD73544-6839-4F10-91D7-06F26CCC9F02 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Riley Surveying, PA. Party/Vendor Contact Person: Phil Riley Contact Phone: 919-667-0742 Party/Vend <br /> Durham Chapel Hill Blvd. Ste B-100 City Durham State: NC Zip: 27707 Department: AMS Amount: $1,250 Purpose: Remove <br /> Code(s): 61370035-870000-10051 Vendor#55186 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract 7 <br /> New® Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date: 8/21/2018 <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has <br /> prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signature Sim• 9MA Date:8/19/2019 <br /> Agreements for emergency services or repair are not suoject to the above affirmation. If services related to this agreement have alread: <br /> completed please briefly describe the nature of the emergency condition that was addressed: / <br /> Risk Management <br /> This agreement is approved for sufficienc— -roocus9ued by: -"'ds,specifications,and requirements: <br /> Office of the Risk Management Officer 1 <br /> 66 (��6 Date: 8/19/2019 <br /> 7FDCF91 7 680 04 98. <br /> Financial Services <br /> This instrument has been pre-audited in Docusigned by: he Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date:8/19/2019 <br /> 7D4E51S1ACC1400. <br /> Legal Services <br /> This agreement is approved as tc Docusigned by: ciency: <br /> , 66A, K6�C '6 8/20/2019 <br /> Office of the County Attorney EAA,D33ED8A84S5.. Date: <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 12/18 <br />