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DocuSign Envelope ID:B3C559C7-669F-465A-9B37-6178302D41F1 <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: $350 Purpose: To update a conservation easement appraisal of the Cedar Grove Windy Hill Farm <br /> Budget Code(s): 61370035 850000 20006 Vendor#51941 (N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> ❑ <br /> No Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date April 5,2017 Approved <br /> by Board Yes[Z]No Agenda Date: December 13,2016 <br /> This agreement is approved as to technical form and content: <br /> r---DocuSigned by: <br /> Department Director's Signature V&A, S fO.lA.Ut Date: <br /> '---61 1 CFA1 D507A495... <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 /> r---DocuSigned_by: ll <br /> Office of the Risk Management Officer aMtS& �, rtiut l6 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 /> DocuSi ed by: <br /> Office of the Chief Financial Officer °" a°9Z Date:-7D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> rDocuSigned by: <br /> Office of the County Attorney j6 UA. hbin,v'tS Date: <br /> �—EAA3D33ED8A8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @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 2/17 5 <br />