R 2011-044 DEAPR - Shackleford and Associates Breeze Farm conservation easement

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LfLt ORANGE COUNTY-CONTRACT CONTROL SHEET Routing Order: (1)Department, (2)IT,(3)Risk Management,(4)Financial Services, (5)Attorney,(6)Manager,(7)Clerk This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should be completed through the legal review process prior to being routed for signature. Department Party/Vendor Name: Rasberry Shackelford&Assoc.. Party/Vendor Contact Person: Jay Shackelford. Contact Phone: (252) 215-2250. Party/Vendor Address: 111 West Fire Tower Road; Suite D. City Winterville. State: NC Zip: 28590 Department: DEAPR Amount: $6,000 Purpose: Conservation Easement Appraisal for Breeze farm (153 acres); planned conservation easement purchase. Budget Code(s): 61370035 720102 20006 Vendor# 57220 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date February 21,2011. If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes No If submitted forbid were bids/RFPs received Yes® No❑. Bid/RFP number This contract has been reviewed and approved by the Department Director as to technical content: Department Director's Signature: Date: IT Director (Applicable only to hiirdware/sof are purchases o, ted services). co tract has been_ ed and approv the Information Technology Director as to technic 1 content Andinfor o ation techP Iloogy sp ifications,. IT Director's Signature: Date: Risk Management Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required ❑. Hold Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown, this contract is approved by the Risk Manager: Risk Manager's Signature: . Date: 07 - /S' f/ Financial Services This Contract is conditionedAipon appropriation by the Board of Commissioners Yes❑Noj A budget amendment is necessary before approval Yes❑ N4 If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Cont of Act: Financial Services Director's Signature: d"", J, Date: 441 County Attorney Approval by Board ❑ (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager Z (All contracts $25,000.00 or less with the exception of BOCC consultants). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: Attorney's Signature 40 Date: County Manager This contract has been reviewed and is approved by the County Manager Yes❑No❑. This contract has been reviewed and is to be submitted for BOCC c p ideration Yes❑No❑. Manager's Signature: Date: C e o the Board Approved by Board Yes❑No❑ Agenda Date: I VIA Clerk's Signature: U��7_ Date: