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DocuSign Envelope ID:D24ECBA0-1481-4248-9BD1-99F2C55148E5 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Sasser Companies Party/Vendor Contact Person: Kevin Sasser(kevins(asassercomnanies.com) Contact Phone: 336.449.1151 <br /> Party/Vendor Address:PO Box 10 City Whittset State:NC Zip:27377 Department: AMS Amount: $235,464.60 Purpose: Emergency Services- <br /> Renlace HVAC system to avoid recontaminating building once cleaned Budget Code(s): 61370035-880000-10068 Vendor# 65006 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New❑ Renewal® Amendment ❑ Effective Date <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 project has not been initiated <br /> prior to execution of the agreement: <br /> Department Director's Signature dt__]anu A Date:6/28/2019 <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been <br /> completed please briefly describe the nature of the emergency condition that was addressed: N/A No additional work has started regarding this change <br /> order. <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Office dLsn ianu Date:6/28/2019 <br /> Financial Services <br /> p This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> 7/19/2019 <br /> Office of the Chief Financial Officer[� Date: <br /> Leval Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney r6w F's Date:7/22/2019 <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 />