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DocuSign Envelope ID:CBD1 77B3-19C5-4070-AC8E-AOE1 E843F2DO <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Sasser Companies, Inc Party/Vendor Contact Person: Kevin Sasser <br /> (Kevin2(c,sassercompanies.com) Contact Phone: 336-449-1144 Party/Vendor Address: PO Box 10 City Whitsett <br /> State: NC Zip: 27377 Department: AMS Amount: $13105.00($2621.00 per month)Fiscal Year$7863.00 <br /> Next Fiscal Year$5242.00 Purpose: Quote for keeping the air scrubbers at the Jail for additional months. <br /> Budget Code(s): 10240320-630000-95022 Vendor # 65006 <br /> Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date 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 /> DocuSigned by: <br /> Department Director's Signatlfwl, AMA Date: 3/5/2021 <br /> Agreements for emergency servicesWWWWS'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: <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 /> DocuSigneed"by: <br /> ' <br /> Office of the Risk Management Offic�!7FDCF9176800498 <br /> &A, rbV7n t& Date: 3/18/2021 <br /> DS . <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial OfficCrr7D4E,1,1ACC140, <br /> � Own Date: 3/31/2021 <br /> ... <br /> Legal Services <br /> This agreement is approved as A��li'�nd sufficiency: <br /> Office of the County Attorne , 'St p at,V Vu Date:3/31/2021 <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 />