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DocuSign Envelope ID: FB505150-8FFC-4352-9220-40CEECBDB354 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Sasser Companies, Inc Party/Vendor Contact Person: Kevin Sasser (kevin2(d)sassercompanies.com) <br /> Contact Phone: 336.449.1144 Party/Vendor Address: PO Box 10 City Whittset State: NC Zip: 27377 Department: AMS <br /> Amount: $16,698 Purpose: Remediation and Reconstruction of the DSS Board Room due to water heater leak Budget <br /> Code(s): 61370035-882000-30002 Vendor# 65006 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 3/2/2020 Approved by Board Yes❑No <br /> ® Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this <br /> project has not been initiated prior to execution of the agreement: <br /> Department Director's Signatur Shy Qvu el{ Date:3/z/2o2o <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have <br /> already begun or been completed please briefly describe the nature of the emergency condition that was addressed: Emergency <br /> Approved by County Management due to air quality assessment.Insurance will(or has)pay for this claim. <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> Office of the Risk Management Officer Qt s� �a ° Date:3/2/2020 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> PL <br /> Office of the Chief Financial Officer Date:3/3/2020 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney +++u Date 3/3/2020 <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 10 <br />