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DocuSign Envelope ID:96CD23D0-0435-4151-8818-9C6A8D03B270 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Shackelford & Associates Party/Vendor Contact Person: Matt Hawk Contact Phone: 252- <br /> 215-2250 Party/Vendor Address: 3750-A South Evans Street City Greenville State: NC Zip: 27834 Department: <br /> DEAPR Amount: $2,000 Purpose: Conservation easement appraisal for Spring Crest Farm(Cedar Grove) Budget <br /> Code(s): 61370035 870000 20006 Vendor#57220 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date November 20, 2017 <br /> Approved by Board YesZ No Ill Agenda Date: October 31,2017-Chair/V-Chair Review via email <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signa 42AAAJ, ShLtA l Date: 11/15/2017 <br /> "-611 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 /> DocuSigned by: <br /> Office of the Risk Management Off' eil�tSA. 66vvullb <br /> Date: 11/16/2017 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Offi Art. Date: 11/20/2017 <br /> 7D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attor ey)14AA, tebitALS 11/22/2017 <br /> 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 10/17 <br /> 8 <br />