Orange County NC Website
DocuSign Envelope ID:25158025-ADOF-4044-B3BF-3AB3BFDF53FD <br /> IN WITNESS WHEREOF,this Agreement has been executed,In duplicate,the day and year <br /> heretofore set out,on the part of the Department and the University by authority duly given. <br /> LS.ATTEST: NORTH CAROLINA STATE UNIVERSITY <br /> on behalf of the <br /> NORTH CAROL€NA CLEAN ENERGY <br /> TECHNOLOGY CENTER <br /> BY: BY: <br /> -jk <br /> 1il►sntly 7.Moore stterrte E settle <br /> TITLE: Sr.Qntitsdt NeNUabar_ TITLE: ,. Dimctor <br /> KCSU a''1 too NC State University <br /> �r7 <br /> DATE: <br /> NCGS 133-32 and Executive Order 24 prohibit the offer to,cr acceptance by,any State Employee of <br /> any gift from anyone with a contract with the State,or from any person seeking to do business with <br /> the State. By execution of any response In this procurement,you attest,for your entire organization <br /> and Its employees or agents,that you are not aware that any such gift has been offered,accepted,or <br /> promised by any employees of your organization. <br /> Federal Tax Identification Number <br /> North Carolina State University <br /> Remittance Address: 1 as A L <br /> �SfRw1y <br /> �K 71t� �atei•�t,, NG �7645'- 7yrY <br /> DEPARTME 7RR PORTATI N <br /> r <br /> BY: <br /> (CHIEF EwwrzER) <br /> DATE: 1/a (11 <br /> APPROVED BY BOARD OF TRANSPORTATION ITEM O: Ja f 0 1 Lo _ _ _ _(Date) <br /> Agreement ID#6737 78 <br />