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DocuSign Envelope ID:70ACFE1D-2958-4566-B4EB-OBE382AC3189 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Sasser Companies, Inc Party/Vendor Contact Person: Ashley Wood <br /> (Ashley(d)sassercompanies.com) Contact Phone: 336.380.3124 Party/Vendor Address: PO Box 10 City Whitsett <br /> State:NC Zip: 27377 Department: AMS Amount: $5808 Purpose: Relocation Emergency SErvices from Churton <br /> Grove back to the Phillip Nick Waters building Budget Code(s): 61370035-880000-10068 Vendor# 65006 (N/A <br /> if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New® Renewal ❑ <br /> Amendment ❑ Effective Date 2/25/2020 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 <br /> on this project has not been initiated prior to execution of the agreement: <br /> Department Director's Signature sfu4"-4R k Date:2/24/2020 <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: NA-No Work will start until the contract has been executed by all signing members. <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 sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Office QGs� �a #f° Date z/24/2020 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> P[, Act: <br /> Office of the Chief Financial Officers Date:2/25/2020 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney Date: <br /> z/z5/zozo <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 <br /> 9 <br />