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DocuSign Envelope ID:22EED3BA-04CD-41B5-9117-FB388DCB2C2D <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Sasser Companies, Inc Party/Vendor Contact Person: Kevin Sasser <br /> (kevin2(a)sassercompanies.com) Contact Phone: 336.449.1144 Party/Vendor Address: PO Box 10 City Whitsett <br /> State: NC Zip: 27377 Department: AMS/ES Amount: $39,239.01 Purpose: Remove, clean and return contents to <br /> Orange County Emergency Services temporary locations Budget Code(s): 61370035 880000 10068 Vendor # <br /> 65006 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New <br /> Renewal❑ Amendment ❑ Effective Date 2/18/19 Approved by Board Yes®No❑ Agenda Date: 2/5/19 <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� �/anx 2/14/2019 <br /> Department Director's Signature [_IX,p. 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: This work started in October,2018 due to the air quality the contents had to be cleaned and returned <br /> in order for Emergency Services operations to work from remote locations and keep critical functions operable. <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> Office of the Risk Management Office 1t 5",bn1t f° Date:2/15/2019 <br /> C, �,��vaR <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> PL Act: <br /> Office of the Chief Financial Office "` Date: 2/18/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorne �j ��° Date:2/19/2019 <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 />