Orange County NC Website
ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Routing Order: (13 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 charging 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 Ole. <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. IF submitted forbid were <br /> bids/RFPs received Yes❑Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: C l Date: 1 f (t <br /> IT Director <br /> (Applicable only to hardware/software purchases or related ervices)This contract has been reviewed and appro,ed by the Information <br /> Technology Director as to technical content and info ate technology specifications: <br /> IT Director's Signature: Date: <br /> Risk Manaeement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Require d ❑. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as she <br /> by the Risk Manager: D <br /> Risk Manager's Signature: �� 14 Ct"L� Date: ,JUN 19 2014 <br /> Financial Services <br /> This Contract is conditioned Oon appropriation by the Board of Commissioners Yes❑No A bu <br /> before approval Yes❑NoIf 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: <br /> Financial Services Director's Signature:_(1444,0, ' Date: �y <br /> I-A nJ <br /> County Attorney <br /> Approval by Board (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 oved 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 app e the County Manager Yes io❑. <br /> This contract has been reviewed an for s' tur by hi Y No❑. <br /> Manager's Signature: Date: <br /> Clerk to the Bo <br /> Approved by BOCC on the day of ,20 i e r air signature on the_day of ,20 <br /> Clerk's Signature: Date:—k,/Z <br /> Revised March 2012 <br />