HomeMy WebLinkAboutR 2020-190 AMS - Sasser Child Support Services window DocuSign Envelope ID: B2019758-3B85-4429-A677-0329018A3E54
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Sasser Companies Party/Vendor Contact Person: Kevin Sasser(kevin2gsassercompanies.com)
Contact Phone: 336-260-7824 Party/Vendor Address: PO Box 10 City Whitsett State: NC Zip: 27377 Department:
AMS Amount: $4782.00 Purpose: To install a new window on the counter tops at Child Support Services (131 West
Margaret Lane) Budget Code(s): 10440020-630000 Vendor # 65006 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date
03/06/2020 Approved by Board Yes❑Nor-1 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 Signatu Siw• 9MA Date:3/6/2020
Agreements for emergency servic 2D❑9C❑6681844C5... 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:
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:
DocuSigned by:
Office of the Chief Information Offi C17FDCF9176900498
US& LDV1n.A6 Date: 3/6/2020
DS ...
�7L Risk Management
This agreement is approved for sufficiency of insurance standards, specifications,and requirements:
DocuSigned by:
Office of the Risk Management Offic ('`� 4 . Date:
3/10/2020
704E51S1ACC1409...
Financial Services
This instrument has been pre-audited in the manner r,,,mred by the Local Government Budget and Fiscal Control Act:
DacuSigned by:
Office of the Chief Financial Offi �6%f t, �I.V v, Date:3/10/2020
4C5F3CDDF0694F6...
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:
Revised 11/19 4