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DocuSign Envelope ID: F9EB4DE7-0094-42D3-A422-0574CE322C59 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Sasser Companies, Inc Party/Vendor Contact Person: Kevin Sasser Contact Phone: <br /> 336.449.1144 Party/Vendor Address: PO Box 10 City Whitsett State: NC Zip: 27377 Department: AMS Amount: <br /> 5 000 Purpose: To contain toxic mold and set up air scrubbers in room 107 in the OC Skills Building_ Budget <br /> Code(s): 31370035-882000-30002 Vendor#65006 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No <br /> ® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 12/9/19 Approved by Board <br /> Yes❑No® Agenda Date:N/A <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> ED <br /> ocuSigned by: <br /> Department Director's Signatur - kmADate: 12/16/2019 <br /> DD9CDBB81844C5. <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 was <br /> addressed: To contain toxic mold and set up air scrubbers in room 107 of the Orange County Skills Building. <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiep—�f;—,,,--,--lards,specifications,and requirements: <br /> Docu5igned by: <br /> Office of the Risk Management Offic Qus& C,bV1rt.0{fb Date: 12/17/2019 <br /> 7FDCF91768004M. <br /> Financial Services <br /> This instrument has been pre-audited in ' Docusigned by: :he Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: <br /> 7D4E51 S 1 A=409. <br /> Legal Services <br /> This agreement is approved as 1 ' Docusigned by: f ciency: <br /> Office of the County Attorne �66A, Kbkk�S Date:12/19/2019 <br /> EAA3MaEMA905.. <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 11/19 4 <br />