Orange County NC Website
DocuSign Envelope ID:62BC4051-D5C6-4DE2-B4D5-935B755BA337 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Sasser Companies, Inc Party/Vendor Contact Person: Kevin Sasser <br /> (Kevin2gsassercompanies.com) Contact Phone: 336.449.1151 Party/Vendor Address: PO Box 10 City Whittset <br /> State: NC Zip: 27377 Department: AMS Amount: $3175.00 Purpose: Provide and install air scrubbers, containment <br /> and cleaning for children's plate Budget Code(s): 61370035 882000 30002 Vendor#65006 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date 8/26/19 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 <br /> this project has not been initiated prior to execution of the agreement: <br /> 7 Date:Department Director's Signature Sf� arue�k 8/27/2019 <br /> - <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 was <br /> addressed: Work started 8/22/19 with written approval from Deputy County Manager due to emergency condition to <br /> contain the area from contact due to potential fungal/bacterial growth found within the children's play area underneath <br /> the play mats. <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Qt 5,!bn1 ffa <br /> Office of the Risk Management Officer[, u�, Date: 8/27/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> P� 8/30/2019 <br /> Office of the Chief Financial Officers Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney[ Date: 9/3/2019 <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 4 <br />