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DocuSign Envelope ID: E7294DB1-99CA-4134-94B4-C2E13EE21540 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Sasser Companies, Inc. Party/Vendor Contact Person: Kevin Sasser Contact Phone: 336-449- <br /> 1144 Party/Vendor Address: PO BOX 10 City Whitsett State: NC Zip: 27377 Department: AMS Amount: $3,907 <br /> Purpose: Move door at Court Street Annex Budget Code(s): 10700020 665000 Vendor#65006 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date 2/18/2019 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 on <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's SignaturC121EF37aAr-D454EF-WP6V*i� Date: 2/18/2019 <br /> Agreements for emergency services or suoject 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 sufficiew-1 of inc„rnnoP-zt—lords,specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Office �US66 (AV1n. 6 Date: 2/18/2019 <br /> 7FDCF9176800498. <br /> Financial Services <br /> This instrument has been pre-audite(' �p`�5�igned by: by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Offi t r"� `�' � Date: 2/19/2019 <br /> 7NE5181ACC1409. <br /> Legal Services <br /> This agreement is approved as DocuSigned by: fficiency: <br /> � <br /> Office of the County Attorn 66A, K6kW'6 Date: 2/19/2019 <br /> EAA3033E08AE465.. <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 4 <br />