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DocuSign Envelope ID:982A924C-1FEF-47C4-95BB-C47462383D5A <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Sasser Companies, Inc Party/Vendor Contact Person: Kevin Sasser <br /> (Kevin2(&sassercompanies.com) Contact Phone: 336-449-1144 Party/Vendor Address: PO Box 10 City Whitsett <br /> State: NC Zip: 27377 Department: AMS Amount: $31,450.00 Purpose: Proposal for Placement of(17,) Air <br /> Scrubbers: 11 Jail, 4 Justice, 2 Extra. Budget Code(s): 10240320-630000-95020 Vendor # 65006 (N/A if new <br /> vendor) 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 Signatu e91M � Date: 5/13/2020 <br /> Agreements for emergency servic pair8a t>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 /> ""by:''ll�Office of the Risk Management OfficFDocuSigned <br /> llSa. rbvvu lTb Date:5/13/2020 <br /> 7FDCF9176800498... <br /> LDS 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: 5/13/2 02 0 <br /> Office of the Chief Financial Offi r,_� +� ­ Date: <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County AttorCeybSl,p�, t YVYIn, Date: 5/14/2020 <br /> 4C5F3CDDF0B94F6... <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 />