Orange County NC Website
DocuSign Envelope ID:57A4862B-43BE-4A6C-B2D2-A722FA813067 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Sasser Companies Inc Party/Vendor Contact Person: Kevin Sasser (kevin2(&sassercompanies.com) <br /> Contact Phone: 336.449.1144 Party/Vendor Address: PO Box 10 City Whittset State: NC Zip: 27377 Department: AMS <br /> Amount: NTE: $555,776 Purpose: Water Mitigation and Additional Repairs to Board of Elections Budget Code(s): <br /> 61370035-880000-10008 Vendor# 65006 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract <br /> Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 4/3/19 Approved by Board Yes® No[-] <br /> Agenda Date: April 2,2019 <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 /> � �/anx <br /> Department Director's Signature C Date:4/3/2019 <br /> , , �,�_ <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: N/A <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Office Qt s� �a��#f° Date: 4/3/2019 <br /> Financial Services <br /> 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 Officer Date:4/17/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorneyl� �i° Date:4/18/2019 <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 $ <br />