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DocuSign Envelope ID:8BEA9913-12A1-4A06-9E5D-4435F48FD2F5 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Riley Surveying, P.A. Party/Vendor Contact Person: Jose Torres: <br /> jtorres(&rileysurveyingpa.com Contact Phone: 919.667.0742 Party/Vendor Address: 3326 Durham Chapel Hill <br /> Blvd, Suite B-100 City Durham State: NC Zip: 27707 Department: AMS Amount: $9,350.00 Purpose: To <br /> provide topographic and utility surveying at OC Board of Elections as per attached proposal. Budget Code(s): <br /> 61370035-870000-10008 Vendor# 52775 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 2/26/2020 Approved by Board <br /> Yes❑No® Agenda Date:N/A <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's SignatureIS <br /> im• 9MA Date:2/24/2020 <br /> 2DD9CD6e81844C5... <br /> Agreements for emergency services or repair are not suuject 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 <br /> was addressed: N/A <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 sufficient �ocuSigppned_by: <br /> . irds,specifications,and requirements: <br /> aUsa LQ 6 2/24/2020 <br /> Office of the Risk Management Office Date: <br /> 7F6CF9178800498... <br /> Financial Services <br /> Irb <br /> os This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: Docusigned by: <br /> Office of the Chief Financial OfficerE 4 � Date: 212512020 <br /> 704E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as tc DocuSigned by: lenCy: <br /> Office of the County Attorney �� � Date:212512020 <br /> 4C5F3CDDFOB94F8... <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 11/19 <br /> 9 <br />