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DocuSign Envelope ID:ODADA07C-FO33-4013-9D3A-48032EA21 FAF <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <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: $2,200 Purpose: Conservation Easement appraisal for historic Moorefields (Cheeks) Budget <br /> Code(s): 61370035 870000 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 February 13,2019 Approved <br /> by Board Yes®No❑ Agenda Date: 1/28/2019-ChairN-Chair Review <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> 2/8/2019 <br /> Department Director's Signat AL Sfa �� Date: <br /> Agreements for emergency servi ,1cwe9viot subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that was <br /> addressed: <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 Offic rQUSA, (hnU Tb Date: 2/10/2019 <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 Offi err +� <br /> # . Date:2/13/2019 <br /> � <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attor Ce�6___I°bht,y�-s Date:2/14/2019 <br /> EAA3D33EDSA8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 12/18 4 <br />