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DocuSign Envelope ID:29F27D7B-1E91-4DC9-92EB-7E7929E38DF6 <br /> GRANGE COUNTY-DEPARTMENT USE ONLY <br /> PartyNendor Name: David A. Smith & Associates Party/Vendor Contact Person: David A. Smith Contact Phone: <br /> 919-493-1534 PartyNendor Address: P.O. Box 51597 City Durham State: NC Zip: 27717 Department: DEAPR <br /> Amount: $2,000 Purpose: Appraisal for Conservation Easment for Kirk Property Budget Code(s): 61370035 870000 <br /> 20006 Vendor#61481 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check <br /> one)New ® Renewal ❑ Amendment ❑ Effective Date October 2. 2019 Approved by Board Yes® No❑ <br /> Agenda Date: ChairNice Chair December 4 2018 <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 /> Department Director's Signature PAV4. SfOU61L Date: 10/3/2019 <br /> Agreements for emergency services or repair are r 611CFA1D507A495. ve 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 hardwarelsoftware 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 /> DocuSiggned by: <br /> Office of the Risk Management Officer aUSA c4nu& Date: 10/9/2019 <br /> 7FDCF0176800408. <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 Officer <br /> A .&I . Date: 10/9/2019 <br /> 704E51S1ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> C2lMDC4H54eA4F5.. <br /> DocuSigned by: <br /> Office of the County Attorneyw's �"' _Date: 10/9/2019 <br /> Cleriz to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: snngersoll@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 />