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DocuSign Envelope ID:36527814-FF6E-473D-8780-375FBB508600 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> NOT A CONTRACT EXHIBIT OR ATTACHMENT <br /> Department <br /> Party/Vendor Name: David A. Smith & Associates Party/Vendor Contact Person: David A. Smith Contact Phone: <br /> 919-493-1534 Party/Vendor Address: PO Box 51597 City Durham State: NC Zip: 27705 Department: DEAPR <br /> Amount: $1,500 Purpose: An as is" market appraisal of the Efland Heirs property(West Ten Road). Budget Code(s): <br /> 61370035 870000 20006 Vendor # 61481 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date December 9, 2015 Approved by <br /> Board Yes No❑ Agenda Date:November 5,2015 <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature mitt, c1 O4AZAt Date: <br /> �--611CFA1D507A495... <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 Director of Information Technology Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> DocuSigned by: <br /> Office of Risk Management ((USX COVIA.tht Date: <br /> �---7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer (71A,N A1.1 Date: <br /> �---7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney jaLtA, leOtt,VtS Date: <br /> `----EAA3D33ED8A8465... <br /> Revised 7/14 4 <br />