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DocuSign Envelope ID:216FE902-54FD-4FOF-8A4F-F6772F5AOB96 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: David A. Smith & Associates Party/Vendor Contact Person: David A. Smith Contact Phone: <br /> 919-493-1534 Party/Vendor Address: PO Box 51597 City Durham State: NC Zip: 27705 Department: DEAPR <br /> Amount: $1,500 Purpose: Market value appraisal for Lloyd properties (Dewed) Budget Code(s): 61370035 <br /> 899950 20006 Vendor#61481 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: <br /> (Check one)New® Renewal ❑ Amendment ❑ Effective Date March 6,2019 Approved by Board Yes®No❑ <br /> Agenda Date: October 31,2017-Chair/V-Chair Review via email <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 irvaw,d Sfuta Date: 3/4/2019 <br /> Agreements for emergency sere maaWairra znot 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 /> CeA&a <br /> DocuSig/ned�by:-llOffice of the Risk Management Offi b Date:3/5/2019 <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 e +� Date: <br /> 3/5/2019 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorn y �b I°b�t-►�S Date: <br /> 3/5/2019 <br /> EAMD33EDSA8465... <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 />