Orange County NC Website
DocuSign Envelope ID:3E751908-ED63-40A3-ADFA-642943140EC7 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Sasser Companies, Inc Party/Vendor Contact Person: Kevin Sasser <br /> (kevinsnsassercompanies.com) Contact Phone: 336.449.1151 Party/Vendor Address: PO Box 10 City Whittset <br /> State: NC Zip: 27377 Department: AMS Amount: 31,440 Purpose: Replace existing lights with LED Budget <br /> Code(s): 61370035-880000-10008 Vendor#65006 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 9/16/19 Approved by <br /> Board Yes❑No® 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 /> 9/12/2019 <br /> Department Director's Signature[ _qQ"„" Date: <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 /> QGsa bn1 ffa <br /> Office of the Risk Management Officer[,,um„� a Date: 9/12/2019 <br /> Financial Services <br /> P� This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> 9/13/2019 <br /> Office of the Chief Financial Officer[ q Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> 9/13/2019 <br /> Office of the County Attorney[ w, Date: <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 />