R 2019-260 AMS - Sasser Companies DA remediation

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DocuSign Envelope ID:CB3A5C75-8281-47AC-85EF-3ADE6B082159 ORANGE COUNTY-DEPARTMENT USE ONLY Party/Vendor Name: Sasser Companies, Inc Party/Vendor Contact Person: Kevin Sasser (kevinsnsassercompanies.com) Contact Phone: 336.449.1151 Party/Vendor Address: PO Box 10 City Whittset State: NC Zip: 27377 Department: AMS Amount: NTE $31,143.00 Purpose: Chimney Repairs, Crawl Space Remediation and Vapor Barrier Budget Code(s): 61370035 880000-10070 Vendor# 65006 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 4/30/19 Approved by Board Yes®No❑ Agenda Date:4/16/19 This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: Q �/anx Department Director's Signature Date: 4/28/2019 Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: N/A-No work has been completed. Risk Management This agreement is approved for sufficiency of insurance standards,specifications,and requirements: Office of the Risk Management Officer kGs�,bn1t f° Date: 4/28/2019 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control PL Act: Office of the Chief Financial Officer rI-N "' Date:4/29/2019 Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney Date:4/29/2019 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 12/18 5