HomeMy WebLinkAboutR 2019-843 AMS - Sasser Link remediation change order 1ZĞǀŝƐĞĚϭϮͬϭϴ
ORANGE COUNTY—DEPARTMENT USE ONLY
_____________________________________________________________________________________________________
Party/Vendor Name: Sasser Companies, Inc Party/Vendor Contact Person: Kevin Sasser Contact Phone: 336.449.1149 Party/Vendor Address: PO
Box 10 City Whitsett State: NC Zip: 27377 Department: AMS Amount: $50,400 (Increase existing PO 1901881) Purpose: Additional rental and
monitoring of air scrubbers Budget Code(s): 61370035-880000-10069 Vendor # 65006 (N/A if new vendor) Vendor is a BOCC consultant? Yes
No Contract Type: (Check one) New Renewal Amendment Effective Date 11/15/19 Approved by Board Yes No Agenda
Date: 11/7/19
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:
Department Director’s Signature ________________________________________ Date: ________
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:
Office of the Risk Management Officer___________________________________ Date: _________
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer ____________________________________ Date: _________
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney __________________________________________Date: ________
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:_________
DocuSign Envelope ID: 0AB94D7E-1704-4418-9071-090B81C37189