HomeMy WebLinkAboutR 2019-388 AMS - Sasser Soltys remediation DocuSign Envelope ID:24F27DF9-OCA1-4BD8-997B-2A7D23FADE38
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: 80,500 Purpose:Spitys
Remediation 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 6/30/2019
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
Oft),40L 7/1/2019
Department Director's Signature Date:
Agreements for emergency services 6., . j ct 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:
Risk Management
This agreement is approved for sufficient-of inc„rnnPP ctnn,ltrds,specifications,and requirements:
DocuSigned by:
CUSa (,bVln.t,{�6 7/1/2019
Office of the Risk Management Office Date:
7FOCF9178800498.
Financial Services
This instrument has been pre-audited it ocusigned by:""',.,.a I—the Local Government Budget and Fiscal Control Act:
7/1/2019
Office of the Chief Financial Officer � Date:
7D4E5981ACC1409.
Legal Services
This agreement is approved as tc ' UocuSigned by:' �iciency: 7/1/2019
Office of the County Attorney �66A, K6k�'6 Date:
EAA3D33EDSAW5..
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 11