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DocuSign Envelope ID:60153825-B133-48F8-824D-16A4BB63929B <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Sasser Companies, Inc Party/Vendor Contact Person: Joe Hendrick <br /> (joe(a)sassercompanies.com) Contact Phone: 336-214-0673 Party/Vendor Address: PO Box 10 City Whitsett <br /> State: NC Zip: 27377 Department: AMS Amount: $11,070.00 Purpose: Containment, Demolition, and <br /> Remediation for Atrium at Orange County Department of Social Services at Hillsborough Commons Budget <br /> Code(s): 61370035-882000-30002 Vendor#65006 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 09/30/2019 Approved <br /> 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 <br /> on this project has not been initiated prior to execution of the agreement: <br /> Department Director's Signature Sf Qvud�k Date: 9/24/2019 <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 /> Office of the Risk Management Office kGs� �a��#f° Date: 9/z4/zo19 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> PL Act: <br /> Office of the Chief Financial Officer r�I-N Date:9/24/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney ' Date: 9/24/2019 <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 6 <br />