Orange County NC Website
Browse       Search
DocuSign Envelope ID: B2019758-3B85-4429-A677-0329018A3E54 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Sasser Companies Party/Vendor Contact Person: Kevin Sasser(kevin2gsassercompanies.com) <br /> Contact Phone: 336-260-7824 Party/Vendor Address: PO Box 10 City Whitsett State: NC Zip: 27377 Department: <br /> AMS Amount: $4782.00 Purpose: To install a new window on the counter tops at Child Support Services (131 West <br /> Margaret Lane) Budget Code(s): 10440020-630000 Vendor # 65006 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date <br /> 03/06/2020 Approved by Board Yes❑Nor-1 Agenda Date: <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 /> DocuSigned by: <br /> Department Director's Signatu Siw• 9MA Date:3/6/2020 <br /> Agreements for emergency servic 2D❑9C❑6681844C5... 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: <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 /> DocuSigned by: <br /> Office of the Chief Information Offi C17FDCF9176900498 <br /> US& LDV1n.A6 Date: 3/6/2020 <br /> DS ... <br /> �7L Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Offic ('`� 4 . Date: <br /> 3/10/2020 <br /> 704E51S1ACC1409... <br /> Financial Services <br /> This instrument has been pre-audited in the manner r,,,mred by the Local Government Budget and Fiscal Control Act: <br /> DacuSigned by: <br /> Office of the Chief Financial Offi �6%f t, �I.V v, Date:3/10/2020 <br /> 4C5F3CDDF0694F6... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney Date: <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 />