Orange County NC Website
DocuSign Envelope ID:7921C9F2-E2B2-4C4B-B625-4F34C81CBE76 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Sasser Companies, Inc. Party/Vendor Contact Person: Kevin Sasser Contact Phone: 336-449-1144 <br /> Party/Vendor Address: PO Box 10 City Whitsett State:NC Zip: 27377 Department:AMS Amount: 88,673 Purpose:&Ltys <br /> Remediation Budget Code(s): (To be determined by Finance - Vendor# 65006 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 4/25/2019 <br /> 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 this <br /> project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> �J' PbVkAaaL 4/25/2019 <br /> Department Director's Signature 21EF373ACD454EF.. Date: <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: <br /> Risk Management <br /> This agreement is approved for sufficient oocu5igned by:n+., A-rds,specifications,and requirements: <br /> Office of the Risk Management Office ,US& V1n.f 6 Date:4/25/2019 <br /> 7FOCF9778800498. <br /> Financial Services <br /> oS <br /> This instrument has been pre-audited in " Docusigned by: he Local Government Budget and Fiscal Control Act: �L <br /> Office of the Chief Financial Officer I 0 � Date: 5/3/2019 <br /> - ('7D4E51S1ACC1409. <br /> Legal Services <br /> This - <br /> agreement is approved as t '---' r--. -' --`fici :enc <br /> S pp UocuSigned. __ by: Y <br /> Office of the County Attorne �66A, K6 Yes Date: 5/3/2019 <br /> EAA3D33ED8AW5.. <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 11 <br />