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<br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> p Party/Vendor Name: Triangle Land Conservancy Party/Vendor Contact Person: Katherine Baer Contact Phone: <br /> ���° 1 Q�—" Party/Vendor Address: 514 South Duke St City Durham State: NC Zip: 27701 Department: REAM <br /> Amount: 0.00 Purpose: MOA to Use Well Budget Code(s):N/A Vendor#N/A (N/A if new vendor) Vendor is <br /> a BOCC consultant? Yes ❑ NoB Contract Type: (Check one)New CRI Renewal ❑ Amendment ❑ Effective <br /> Date 12/1/2014 Approved by Board Yes❑No6d Agenda Date:N/A <br /> This agreement is approved as to technical form and co ent: <br /> Department Director's Signature (D-0 Date: 1 $ S <br /> Information T polo ies <br /> (Applicable only to are/software purcha or related services)This agr ent has been reviewed a <br /> approved as 'nformation technology c ent and specifications: <br /> Office of the Chief Inform ti Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Officer Date:41-9 t, <br /> JAN -9 2015 <br /> Financial Services <br /> B <br /> This instrument has been pre-audited in the manner required by the Local Government Budget <br /> Act: <br /> f� <br /> Office of the Chief Financial Officer Date:�,�,b'�lv� �/ <br /> thlz <br /> Legal Services <br /> This agreement is approved as to legal form and suffic' y: <br /> Office of the County Attorney Date: <br /> �n e <br /> Clerk to the Board ' <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydP_orangecountync.>ov <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 />