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DocuSign Envelope ID: 15540DF7-lAB4-4222-89C8-2164ECA8D311 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Sassser Companies, Inc Party/Vendor Contact Person: Kevin Sasser (kevin2(a)sassercompanies.com) <br /> Contact Phone: 336.449.1144 Party/Vendor Address: PO Box 10 City Whitsett State:NC Zip: 27377 Department: AMS/ES <br /> Amount: $98,360.00 Purpose: Install Air Ventilation Scrubbers, temporary containment for 9-1-1 Communications Staff to <br /> safely work inside the ES building and perform test cuts to determine the extent of damage Budget Code(s): 61370035 <br /> 880000 10068 Vendor#65006 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check <br /> one)New® Renewal ❑ Amendment ❑ Effective Date 2/18/19 Approved by Board Yes®No❑ Agenda Date: 2- <br /> 5-19 <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this <br /> project has not been initiated prior to execution of the agreement: <br /> Department Director's Signature panx� Date: 2/14/2019 <br /> CQ,IX a��,M <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have <br /> already begun or been completed please briefly describe the nature of the emergency condition that was addressed: Due to the <br /> air quality reports and the need to keep the emergency operations center open this work was started as an emergency and is still <br /> ongoing until March 1,2019 with air scrubbers to maintain the facility. <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Office -Es"", �a�•�#f° Date: 2/15/2019 <br /> Financial Services <br /> P� This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control 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 AttorneE� 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 11 <br />