Orange County NC Website
DocuSign Envelope ID:24F27DF9-OCA1-4BD8-997B-2A7D23FADE38 <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: 80,500 Purpose:Spitys <br /> Remediation Budget Code(s): 61370035 880000 10071 Vendor # 65006 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 6/30/2019 <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 /> Department <br /> Oft),40L 7/1/2019 <br /> Department Director's Signature Date: <br /> Agreements for emergency services 6., . j ct 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-of inc„rnnPP ctnn,ltrds,specifications,and requirements: <br /> DocuSigned by: <br /> CUSa (,bVln.t,{�6 7/1/2019 <br /> Office of the Risk Management Office Date: <br /> 7FOCF9178800498. <br /> Financial Services <br /> This instrument has been pre-audited it ocusigned by:""',.,.a I—the Local Government Budget and Fiscal Control Act: <br /> 7/1/2019 <br /> Office of the Chief Financial Officer � Date: <br /> 7D4E5981ACC1409. <br /> Legal Services <br /> This agreement is approved as tc ' UocuSigned by:' �iciency: 7/1/2019 <br /> Office of the County Attorney �66A, K6k�'6 Date: <br /> EAA3D33EDSAW5.. <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 />