Orange County NC Website
DocuSign Envelope ID: 146A2CDF-654F-45A7-9764-5D3E7DOAOB28 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Kirkland Appraisals, LLC Party/Vendor Contact Person: Richard C. Kirkland, Jr. Contact <br /> Phone: 919-414-8142 Party/Vendor Address: 9408 Northfield Court City Raleigh State: NC Zip: 27603 Department: <br /> DEAPR Amount: $875 Purpose: Update a conservation easement appraisal of the Robert and Gail Pope farm property <br /> Budget Code(s): 61370035 870000 20006 Vendor#51941 (N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> ❑ No[] Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date August 15, 2016 <br /> Approved by Board Yes[]Nor-1 Agenda Date: June 21,2016 <br /> This agreement is approved as to technical forth and content: <br /> DocuSigned by: <br /> Department Director's Signature 5aVLG SfOJA,6� Date: <br /> 611CFA1D507A495... <br /> Information Technolosies <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 sufficiency of insurance standards, specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Officer Fausa, (,OV'htd 6 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 Date: <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ocuSigned by: <br /> Office of the County Attorney 56,6, r4�� Date: <br /> EAA3D33EDSA8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.ny_c.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 6/16 5 <br />