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ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: NC State University - SPARCS PartyNendor Contact Person: Wendy Moore Contact <br /> Phone: 919-513-1190, wjm@ncsu.edu Party/Vendor Address: 2701 Sullivan Drive Suite 240; Campus Box 7514 <br /> City Raleigh State: NC Zip: 27695 Department: AMS Amount: Grant Reimbursement to County - $84,840 <br /> Purpose: Alternative fuel (propane) program for County vehicles Budget Code(s): 30240030 800000 71325 <br /> Vendor#NEW (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date 5/1/2015—3/31/2016 Approved by Board Yes® No❑ <br /> Agenda Date: June 16,2015 <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature Date: 3' k r <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related s ices) is agreement has been reviewed and is <br /> approved as to information technology content and specificatio s: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insuran standards,specifications,and requirements: <br /> Office of the Risk Management Officer Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: — e <br /> Office of the Chief Financial Officer "� /� Date: <br /> G <br /> Legal Services <br /> This agreement is approved as to legal form aild sufficiency: <br /> Office of the County Attorney Date: is <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolioydkoran ec�ountync.eov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: / <br /> Co A WVt+rS2 5 G<C <br />