HomeMy WebLinkAboutR 2019-278 AMS - Sasser Companies Soltys remediation DocuSign Envelope ID:9328CCEF-D384-4D87-A63F-17407DE1DAC5
DS
ORANGE COUNTY—DE PART MENT USE ONLY j
Party/Vendor Name: Sasser Companies, Inc Party/Vendor Contact Person: Kevin Sasser Contact Phone: 336-
516-5140 Party/Vendor Address: PO Box 10 City Whitsett State: NC Zip: 27377 Department: AMS Amount:
$11,841.25 Purpose: Soltys Remediation Initial MIT Budget Code(s): 61370035-880000-10071 Vendor# 65006
(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑
Renewal❑ Amendment ❑ Effective Date 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:
P[.V. VbVt .,A. 5/16/2019
Department Director's SignatureDate:
Agreements for emergency services or rep ' Alt-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: Emergent work in Soltys center due to evidence of mold,and the need to remediate.
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
DocuSigned by:
g PUS4,
(,6n t 6 5/16/2019
Office of the Risk Mana ement OfficerDate:
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Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
DocuSigned by:
Office of the Chief Financial Officer Date: 5/16/2019
7NF5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
5uSigned by:
6Z, •• ,'.�Office of the County Attorney Oafs s Date:5/16/2019
EAA3D33ED6A8465_..
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 5