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DocuSign Envelope ID:6F2D8D39-6EB8-4247-8096-EE88570CAA31 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Sasser Companies, Inc Party/Vendor Contact Person: Kevin Sasser (kevin2(&sassercompanies.com) Contact Phone: <br /> 336.449.1144 Party/Vendor Address: PO Box 10 City Whittsett State: NC Zip: 27377 Department: AMS Amount: 3054.00 Purpose: Change <br /> Request to reduce allowance amounts down to actuals. Budget Code(s): 61370035-880000-10068 Vendor#65006 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ❑ Renewal ❑ Amendment ® Effective Date 1/30/20 Approved by Board <br /> Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated <br /> prior to execution of the agreement: <br /> D 5' tlby <br /> Department Director's Signature 5 �e <br /> fw� Quad# Date:lo/z9/zozo <br /> . <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been <br /> 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 s'g a by: <br /> IUesa(mu{fe 10/29/2020 <br /> Office of the Risk Management Officer Date: <br /> ife5f91i6eeB195.. <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 /> Office of the Chief Financial Officer �"" Date: 11/2/2020 <br /> OLE51gi]I <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D 5i9bea by: <br /> Office of the County Attorney��° 11w Date:11/2/2020 <br /> s.Feeeer:oealro_. <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 12/18 <br />