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DocuSign Envelope ID: 1EDCDF34-B900-4362-87B8-OA1047DE941C <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Sasser Companies, Inc Party/Vendor Contact Person: Kevin Sasser <br /> (kevinsna,sassercompanies.com) Contact Phone: 336.449.1151 Party/Vendor Address: PO Box 10 City Whittset <br /> State: NC Zip: 27377 Department: AMS Amount: Not to Exceed $28,000 Purpose: Provide labor and materials <br /> for containment to be performed at the Orange County Link building Budget Code(s): TBD Vendor#65006 (N/A <br /> if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal ❑ <br /> Amendment ❑ Effective Date 1/19/2019 Approved by Board Yes❑No® Agenda Date: <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 /> Q� }av�x�n 1/18/2019 <br /> Department Director's Signature[IX,�n� Date: <br /> Agreements for emergency services or repair are not 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 /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Office , S" bn1t f° Date:1/19/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> P� Act: <br /> Office of the Chief Financial Officer rI-N "' Date:1/22/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney _�� rov S Date:1/22/2019 <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 5 <br />