Orange County NC Website
Revised 06/21 <br /> <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />_____________________________________________________________________________________________________ <br /> <br />Party/Vendor Name: Sasser Companies, LLC Party/Vendor Contact Person: Russell Wills Contact Phone: 336.449.1144 Party/Vendor Address: PO <br />Box 10 City Whitsett State: NC Zip: 27377 Department: AMS Amount: $16,603.50 Purpose: Additional Mitigation for Moisture inside Emergency <br />Services Building Budget 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 10/1/2021 Approved by Board Yes No Agenda Date: -- <br />- For Section XIV. c. contracts only, Approved by Board in Current FY Budget Yes No <br /> <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 /> <br />Department Director’s Signature ________________________________________ Date: ________ <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: During the investigation moisture was found inside the <br />walls that contained mold, this required immediate action to remediate and mitigate additional exposures to the mold growth. Insurnace claim has been <br />filed and Insurance company is investigating the damages. <br /> <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of the Risk Management Officer___________________________________ Date: _________ <br /> <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br />Clerk to the Board <br /> <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 /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br /> <br /> <br />DocuSign Envelope ID: F21A8751-3B2B-4114-916A-51B18943B5EE <br />10/1/2021 <br />10/3/2021 <br />10/6/2021 <br />10/7/2021