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DocuSign Envelope ID:804E2551-FADO-44F8-8029-86C6E3744306 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Sasser Companies, Inc Party/Vendor Contact Person: Kevin Saser <br /> (kevin2(a)sassercompanies.com) Contact Phone: 336-449-1144 Party/Vendor Address: PO Box 10 City Whitsett <br /> State: NC Zip: 27377 Department: AMS Amount: Not to Exceed $5000.00 Purpose: Containment at Skills <br /> Development Center at 503 West Franklin Street, Chapel Hill NC Budget Code(s): 61370035-882000-30002 <br /> Vendor#65006 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) <br /> New® Renewal ❑ Amendment ❑ Effective Date 10/03/2019 Approved by Board Yes❑No® Agenda <br /> 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 Date: 10/3/2019 <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: This work started on 10/1/2419 with prior authorization from Travis Myren to Alisa Cometto due to <br /> the high counts of the air results returned.The rooms tested had to be contained to ensure no exposure to the staff or <br /> occupants within the building. <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Office QGs� �a��#f° Date: 10/4/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> p� Act: oIXVslp <br /> Office of the Chief Financial Officer "` Date:10/7/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney _' rov s Date:10/8/2019 <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 5 <br />