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DocuSign Envelope ID:4BD3AF05-8D53-4AE5-83F5-70D042544F7F <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Shackelford &Associates Party/Vendor Contact Person: Matt Hawk Contact Phone: 252-215- <br /> 2250 Party/Vendor Address: 3750-A South Evans Street City Greenville State:NC Zip: 27834 Department:DEAPR <br /> Amount: $2,000 Purpose: Conservation Easement appraisal for Latta's Egg Ranch (Hillsborough) Budget Code(s): <br /> 61370035 870000 20006 Vendor # 57220 (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 by <br /> 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 /> DocuSignedby: <br /> Department Director's Signati irpm, Sfa"t Date:2/10/2019 <br /> Agreements for emergency serve 1uncWai97a;e5not 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: ll� <br /> Office of the Risk Management Offic[r17FDCF.176,004., <br /> USA. rbvv�.�llb Date:2/11/2019 <br /> ... <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 OffiCeit- +� . Date:2/13/2019 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Do Signed by: <br /> tyu <br /> Office of the County Attor e but O Date:2/14/2019 <br /> EAA3D33ED8A8465... <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 />