HomeMy WebLinkAboutR 2019-098 AMS - Sasser Court Street Annex door DocuSign Envelope ID: E7294DB1-99CA-4134-94B4-C2E13EE21540
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Sasser Companies, Inc. Party/Vendor Contact Person: Kevin Sasser Contact Phone: 336-449-
1144 Party/Vendor Address: PO BOX 10 City Whitsett State: NC Zip: 27377 Department: AMS Amount: $3,907
Purpose: Move door at Court Street Annex Budget Code(s): 10700020 665000 Vendor#65006 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑
Effective Date 2/18/2019 Approved by Board Yes❑No❑ Agenda Date:
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 prior to execution of the agreement:
DocuSigned by:
Department Director's SignaturC121EF37aAr-D454EF-WP6V*i� Date: 2/18/2019
Agreements for emergency services or suoject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that was
addressed:
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiew-1 of inc„rnnoP-zt—lords,specifications,and requirements:
DocuSigned by:
Office of the Risk Management Office �US66 (AV1n. 6 Date: 2/18/2019
7FDCF9176800498.
Financial Services
This instrument has been pre-audite(' �p`�5�igned by: by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Offi t r"� `�' � Date: 2/19/2019
7NE5181ACC1409.
Legal Services
This agreement is approved as DocuSigned by: fficiency:
�
Office of the County Attorn 66A, K6kW'6 Date: 2/19/2019
EAA3033E08AE465..
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 12/18 4