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DocuSign Envelope ID:80DBCC67-147D-4966-BA8F-6B37818063C4 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: State of North Carolina, Department of Natural and Cultural Resources, North Carolina <br /> Land and Water Fund Party/Vendor Contact Person: Marie Meckman Contact Phone: 917-707-8649 Party/Vendor <br /> Address: 1651 Mail Service Center City: Raleigh State: NC Zip: 27699 Department: DEAPR Amount: N/A <br /> Purpose: Acceptance of Grant Terms and Budget Estimates for State conservation grant fund Budget Code(s): N/A <br /> Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date December 21, 2020 Approved by Board Yes® No❑ <br /> Agenda Date: December 15,2020 <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> D �ocuSigned by: <br /> Department Director's Signature Date: 12/22/2020 <br /> } �, <br /> Agreements for emergency services WW 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 <br /> was addressed: N/A <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 /> FDocuSignedby: 12/22/2020 <br /> Office of the Risk Management Office$ USa. Cb Date: <br /> '--7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer E7NE5181AC01409 <br /> r1 10 -w Date:12/23/2020 <br /> ... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: 12/2 3/2020 <br /> Office of the County Attorney1i328DC480549A4F5 <br /> m,-s tnrA& Date: <br /> ... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Revised 07/20 <br />