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DocuSign Envelope ID:009C070B-082A-4583-9299-130CD4A17FEA <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: 2007 FRONT STREET City Durham State: NC Zip: 27705 Department: <br /> DEAPR Amount: $1,500 Purpose: Appraisal for Conservation Easment for Coon Rock Farms LLC Property Budget <br /> Code(s): 61370035 870000 20006 Vendor#61481 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No <br /> ® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date December 14,2021 Approved <br /> by Board Yes®No❑ Agenda Date: Chair/Vice Chair September 3,2021 <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 ��- Sfa�.u(, Date: <br /> 12/13/2021 <br /> Agreements for emergency services 6teptilidff5not 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 /> 12/13/2021 <br /> Office of the Risk Management Office E-97MCF9176800498 <br /> SP. C,OV1a.t fl-0 Date: <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: 12/13/2021 <br /> Office of the Chief Financial Office rq 0 Date: <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney�a*t,S f na)A, Date:12/13/2021 <br /> 328DC480549A4F5... <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 /> Office of the Clerk to the Board Date: <br /> Revised 07/20 4 <br />