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DocuSign Envelope ID:75CA7432-11C8-4235-BA13-2CEA833F7C39 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Sasser Flooring And Design, Inc Party/Vendor Contact Person: Kevin Sasser/Brian Perry <br /> Contact Phone: 336.449.1144 / 919.964.1801 Party/Vendor Address: 7237 Pace Drive City Whitset State: NC <br /> Zip: 27377 Department: Sheriffs Office Amount: NTE $32,814.96 Purpose: Replace Carpet Budget Code(s): <br /> 10710030-803000 Vendor#65632 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract <br /> Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 5/20/19 Approved by Board Yes❑No <br /> ® 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 5'g d by: <br /> Department Director's Signature S ^" &4& Date: 5/17/2019 <br /> CdggAECF5D8)Bddg... <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 <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> D s'g a by: <br /> Office of the Risk Management Office also 6NWff° Date:S/v/zol9 <br /> �]FDCFBi]BB004Bg... <br /> Financial Services <br /> D� This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> D,,,Sig,,d by: <br /> Office of the Chief Financial Officer[ Date:5/20/2019 <br /> ]D4E51g1ACC140B. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D s'g d by: <br /> Office of the County Attorney{° �abwfs Date: 5/20/2019 <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 5 <br />