Orange County NC Website
shy_tA ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Routing Order: (I�Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk <br /> This Document shall accompany all contracts and shall be submitted for signature in the Routing Order 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 /> Party/Vendor Name: Riding Partners,Inc. Party/Vendor Contact Person: Matthew Johnson Contact Phone:(828)273-2619 <br /> Party/Vendor Address: 87 Shope Road City Asheville State:NC Zip:28805 Department:AMS Amount:Vendor to pay County <br /> 1/ ear Purpose:Lease land for electric vehicle chargin station Budget Code(s):N/A Vendor#N/A (N/A if new vendor) Vendor is <br /> a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date June 2014 <br /> Approved by Board Yes®No❑ Agenda Date:4/15/2014 Title of Contract:7.0 DC Fast Charger Electric Vehicle Station <br /> Licensing Agreement with Brightfield Transportation Solutions 0'e. <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: �'�� Q lr'�'_`— Date: <br /> IT Director <br /> (Applicable only to hardware/software purchases or related ervices)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and info ati technology specifications: <br /> IT Director's Signature: Date: <br /> Risk Manaeement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as sho <br /> by the Risk Manager: �j /� D <br /> Risk Manager's Signature: // /�,- � Date: JUN 1 9 Z O 14 <br /> it r Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No A bu <br /> before approval Yes❑No�If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the <br /> manner required by the Local Government Budg t and Fiscal Control Act: 1/ <br /> Financial Services Director's Signature: U. ' Date: I7 <br /> L-1 io <br /> County Attorney <br /> Approval by Board Z(Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager❑(Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has been reviewed owed by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is appr a the County Manager Yes lo❑. <br /> This contract has been reviewed an for s' ture by h ' Y No❑. <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved by BOCC on the_day of 20 . Submitted for Chair signature on the_day of 20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />