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DocuSign Envelope ID:36950FE8-909C-4F46-B548-94751699FBOE <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: $1,400 Purpose: A conservation easement appraisal of the Cedar Grove Windy Hill Farm Budget <br /> Code(s): 61370035 850000 20006 Vendor#51941 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No <br /> ® Contract Type: (Check one) New ® Renewal❑ Amendment ❑ Effective Date December 20, 2016 Approved <br /> by Board Yes®No❑ Agenda Date: December 13,2016 <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature Fvxvt sfix"� 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 Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office DocuSigned"by:'�. <br /> Oce of the Risk Management Officer FES& (,bv��,11 b 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 /> 71D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency <br /> bocuSigned by: <br /> Office of the County Attorney r, 6 I. r6t*f5 Date: <br /> EAAMKEDM8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollo d&oran etync.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 />