HomeMy WebLinkAboutR 2019-280 AMS - Sasser Flooring Design Inc. Sheriffs office carpet replacement DocuSign Envelope ID:75CA7432-11C8-4235-BA13-2CEA833F7C39
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Sasser Flooring And Design, Inc Party/Vendor Contact Person: Kevin Sasser/Brian Perry
Contact Phone: 336.449.1144 / 919.964.1801 Party/Vendor Address: 7237 Pace Drive City Whitset State: NC
Zip: 27377 Department: Sheriffs Office Amount: NTE $32,814.96 Purpose: Replace Carpet Budget Code(s):
10710030-803000 Vendor#65632 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract
Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 5/20/19 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:
D 5'g d by:
Department Director's Signature S ^" &4& Date: 5/17/2019
CdggAECF5D8)Bddg...
Agreements for emergency services or repair are not subject 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: N/A
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications,and requirements:
D s'g a by:
Office of the Risk Management Office also 6NWff° Date:S/v/zol9
�]FDCFBi]BB004Bg...
Financial Services
D� This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
D,,,Sig,,d by:
Office of the Chief Financial Officer[ Date:5/20/2019
]D4E51g1ACC140B.
Legal Services
This agreement is approved as to legal form and sufficiency:
D s'g d by:
Office of the County Attorney{° �abwfs Date: 5/20/2019
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