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^ <br /> �0/� -0 �, ~� <br /> '' ORANGE COUNTY—CONTRACT CONTROL SHEET c� <br /> Routing Order: (])Dupur��co�(2)lT,8)Diik��umu&o/ucn�(4)F�anoiaiScrvicox, (5)/t�oroey. o888onuge� (7v Clerk <br /> This Document o6aUuc000upaoyall con�actoand shall bcxuhmiuod for oiguam,oiu the R»udog(�de,specified above. If'the Manager <br /> determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for <br /> BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should <br /> be completed through the legal review process prior to being routed for signature. <br /> Department <br /> PuctyNcndorYVumr: ALT Services Group Party/Vendor Contact Person: Dan Thomas Contact Phone:252-430-0326 Party/Vendor <br /> Address: 118 Peter Gill Road City Henderson State: NC Zip:27537 Department:N/A Amount: not to exceed$84,530.00 Purpose: <br /> Electric Vehicle Chargi Stations Budget Code(s): 29240030-880000-71320 Vendor# (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes []Y4o[] Contract Type: (Check one)New El Renewal El Amendment 0 Effective Date Approved by <br /> Board `ycx0 lNo00 Agenda Date: N/A Title of Contract: EV Charging Station Installation <br />' <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Conumixoiovco)/omZ No0. If submitted for bid were <br />, <br /> bids/RFPs received Yes NoFl Bid/gFp number 367-/h49Tbiu contract has been reviewed and approved by the Department Director <br /> as to technical content: <br /> Department Director's Signature: Date: 3 - 30 ' /7-~ <br /> IT Director <br /> (Applicable only^o6uruwu,u/s9ftwu,e purchases or related services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technology specifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: 2"CGL; D~Auto; [},WC; El Professional; 0 Property; OR No Insurance Required 0. Hold <br /> Contract pending receipt of Certificate of Insurance El. With incorporation of Insurance provisions as shown, this contrac is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: i <br /> KX Date: J' 36' iv <br /> gr lel c7/,L. 31"17W- �41.4 - <br /> Financial Services <br /> This Contract is condition pon appropriation by the Board of Commissioners 0 A budget amendment is necessary <br /> before approval l'co0 No � If budget amendment is necessary, please attach to this form. ��^ ino�umc,uhas been pre-audited in the <br /> manner required by the Louu�Govcron`nntB t and Fiscal Cntr |Act: <br /> Financial Services Director's Signature: CIAL--1.4-." / ' <br /> Date: vI 11- <br /> County Attorney <br /> Approval by Board Fl (Contracts $90.000.00 or more for goods or services, $250,080.00 or more for couxumcdno, or any BOCC <br /> consultant contract). Approval by Manag ost other contracts$1,000 and above). Department Director approval only El (Under <br /> $1.000). This contract has bc�� evin`vud and approved hf the'��oruoyuuto legal form and ouf§cicncy: <br /> �'� <br /> Attorney's Signature �^ <br /> 7 " 1 Date: �� Z. <br /> ' <br /> County Manager <br /> This contract has been reviewed and io approved by the County Manager xow1_|�� <br /> lNoL]. <br /> This contract has been reviewed and is for sig . u ^ by the Chair Yce0Norg~'' <br /> Manager's Signature: 3 Date: ~4 -/ v, / <br /> �-- <br /> Clerk to the Board <br /> Approved by BOCC on the day of � ~� ' mittedDnChui,oigumumood,c day of <br /> ,20 . <br /> Clerk's Signature: i Date: 7/1Z____.- <br /> Revised March 2012 <br />