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DocuSign Envelope ID:7B348BE5-8AD3-4B23-AC90-OA2F53C77559 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Sasser Companies Party/Vendor Contact Person: Kevin Sasser <br /> (kevins(&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 $25,000 Purpose: Provide air scrubbers <br /> maintenance and rental to maintain air quality within building Budget Code(s): 61370035 880000 10069 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 3/15/2019 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 /> D s'g a by: <br /> Department Director's Signature C alp�6Vt+aAn Date: 3/13/2019 <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-Previous contract approved for,installation,first month rental and maintenance. <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> D sg acy: <br /> Office of the Risk Management Officer ausa(Nwuf 6 Date:3/13/2019 <br /> `]FDCF91]80006gg... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Ds <br /> Act: <br /> D s'g a by: <br /> Office of the Chief Financial Officer 0--a"` Date:4/24/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D s'g a by: <br /> Office of the County Attorney�6L,r6�to Date: 4/25/2019 <br /> FAl3D33ETlBAi2IIB5.. <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 />