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DocuSign Envelope ID:C7673813-78BB-49E4-8798-OOA749FF7321 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Sasser Companies, Inc Party/Vendor Contact Person: Kevin Sasser <br /> (Kevin20)sassercompanies.com) Contact Phone: 336-449-1144 Party/Vendor Address: PO Box 10 City Whittset <br /> State:NC Zip: 27377 Department: Solid Waste Amount:NTE: $18,326 Mold Remediation,Flooring and Rental of <br /> Air scrubber Purpose: Remove, remediate and replace library room flooring for Solid Waste Administration <br /> Building Budget Code(s): 50351020-630000 Vendor # 65006 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date On <br /> or After April 15,2019 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 /> DocuSigned by: <br /> Department Director's Signature ova k`�11�+a�.�b Date: <br /> 4/10/2019 <br /> Agreements for emergency services or re seEe6Fsa3690496.. 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 /> DocuSigppned_by: <br /> .�t <br /> Office of the Risk Management Officer �US66 LQ 6 Date:4/10/2019 <br /> 7FDCF917e800498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer 4/11/2019 <br /> `�' '� Date: <br /> 704E51S1ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiencv: <br /> DocuSigned by: <br /> �WAA, t, �S(h 4/11/2019 <br /> Office of the County Attorney Date: <br /> 079A4D525C0F4FB. <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 />