Orange County NC Website
DocuSign Envelope ID: E1D4D129-DA1B-4C87-B445-2E27F9A4C7A8 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Sasser Companies, Inc. Party/Vendor Contact Person: Kevin Sasser (kevin2gsassercompanies.com) <br /> Contact Phone: 336-449-1144 Party/Vendor Address: PO Box 10 City Whitsett State: NC Zip: 27377 Department: AMS <br /> Amount: $96,119.00 Purpose: Remedation of the DSS including repairs Budget Code(s): 61370035-882000-30002 Vendor# <br /> 65006 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal <br /> ❑ Amendment ❑ Effective Date 10/21/19 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 this <br /> project has not been initiated prior to execution of the agreement: <br /> Department Director's Signature S Q"" Date: 10/18/2019 <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have <br /> already begun or been completed please briefly describe the nature of the emergency condition that 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 Qt s� �a�� d Date 10/18/2019 <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 /> Office of the Chief Financial Office[ Date:10/21/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County AttorneC� ° Date: l0/21/2019 <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 11 <br />