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DocuSign Envelope ID: BD861CC3-6F31-4312-AEC2-AFFOACA87D4B <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Sasser Companies, Inc. Party/Vendor Contact Person: Jason Haves Contact Phone: 336.449.1144 <br /> Party/Vendor Address: PO Box 10 City Whitsett State: NC Zip: 27377 Department: AMS Amount: $9,900.0 Purpose: <br /> Sheriffs Office-Pack,Relocate and Store contents from the uniform room for waterproofing project to start and finish Budget <br /> Code(s): 61370035-882000-30002 Vendor# 65006 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 11/15/2020 Approved by Board Yes❑ <br /> No® Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this <br /> project has not been initiated prior to execution of the agreement: <br /> D Sg gby: 11/13/2020 <br /> Department Director's Signature ICE Date: <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have <br /> already begun or been completed please briefly describe the nature of the emergency condition that was addressed: N/A <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> D Sg 11/13/2020 <br /> Office of the Risk Management Officer <br /> (enyl u$e Date: <br /> ]FDCF91]SBggbgg.. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> P( 0 Sig—by: <br /> 11/16/2020 <br /> Office of the Chief Financial Officer[ �" Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> rD...Sig,,d by: <br /> Office of the County Attorney I ;;Nwvik, Date:11/17/2020 <br /> 4DSF3CDDFOBB4F8.. <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@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 07/20 10 <br />