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Revised 12/18 5 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br /> <br />Party/Vendor Name: Sasser Companies, Inc Party/Vendor Contact Person: Kevin Sasser <br />(kevin2@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 $12,324.00 Purpose: Install Security Glass at <br />Clerk Station and Install Juvenile Work Station at Orange County Justice Building, 106 West Margaret Lane Budget <br />Code(s): 61370035-880000-10073 Vendor # 65006 (N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> No Contract Type: (Check one) New Renewal Amendment Effective Date 12/1/2019 Approved <br />by Board Yes No Agenda Date: <br /> <br /> <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 /> <br /> <br />Department Director’s Signature ________________________________________ 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 /> <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of the Risk Management Officer ___________________________________ Date: _________ <br /> <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br />Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br /> <br />Clerk to the Board <br /> <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 /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br /> <br /> <br /> <br />DocuSign Envelope ID: ED76D6D3-62F1-48C2-94CA-189CF3E73913 <br /> <br /> <br /> <br />