R 2019-918 AMS - Sasser ES Change Request 4

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DocuSign Envelope ID:AODF2D6C-3A18-4DOA-85FE-5237812F54C8 ORANGE COUNTY-DEPARTMENT USE ONLY Party/Vendor Name: Sasser Companies Party/Vendor Contact Person: Kevin Sasser (kevins@sassercompanies.com) Contact Phc Party/Vendor Address: PO Box 10 City Whittset State: NC Zip: 27377 Department: AMS Amount: $119,623.14 Purpose: Eme Additonal replacements due to mold contamination, fire code changes for separation between spaces Budget Code(s): 613700 Vendor#65006 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ❑ Renewa ❑ Effective Date Approved by Board Yes❑No® Agenda Date: This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has prior to execution of the agreement: Department Director's Signature C Qw+Jk Date:12/2/2019 , Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have alread: completed please briefly describe the nature of the emergency condition that was addressed: N/A No additional work has started regar order. Risk Management This agreement is approved for sufficiency of insurance standards, specifications,and requirements: Office of the Risk Management Office R Date: 12/6/2019 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: r Office of the Chief Financial Officer Date: 12/12/2019 Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney Date:12/19/2019 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 12/18