R 2016-197-E AMS - CST Fleet Services for Fleet Management Internal Services Fund Analysis

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DocuSign Envelope ID: C9602884-99B7-4D01-8E6D-E5DB069ABB26 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: CST Fleet Services Party/Vendor Contact Person: Hayes Smith Contact Phone: 336-287- 5882 Party/Vendor Address: 1325 Central Road City Clemmons State: NC Zip: 27012 Department: AMS Amount:40.210 Purpose: Fleet Management Internal Services Fund Analysis Budget Code(s): 1024-0420-630000 Vendor#63690 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date April 1, 2016 Approved by Board Yes[—] No® Agenda Date: This agreement is approved as to technical form and content: ��U S g Department Director's Signature l,°.#7Ae _ Date: 4/2/2016 Information Technolouies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency of insurance standards,specifications,and requirements: DocuSignetl by: Q(sa(hnuNo Office of the Risk Management Office Date: 4/3/2016 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: D Sg tlby. Office of the Chief Financial Officer C(IaN °" °" Date: 4/3/2016 `7D4Eb181-1400.. Lezal Services This agreement is approved as to legal form and sufficiency: Oowsignetl by: Office of the County Attorney �6L, rOyty� Date: 4/4/2016 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollo dy�rc orangecoun nc.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 1/16 9