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Revised 12/18 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br /> <br />Party/Vendor Name: NC State University – Sponsored Programs Party/Vendor Contact Person: Anne Lesky <br />Contact Phone: 919-515-2444; anne_lesky@ncsu.edu Party/Vendor Address: 2701 Sullivan Drive, Admin. Services <br />III Bldg., Suite 240, Campus Box 7514 (Send invoices to: Heather Brutz, NC State University, NC Clean Energy <br />Technology Center, Campus Box 7409, Raleigh, NC 27695) City Raleigh State: NC Zip: 27695-7514 <br />Department: Asset Management Services Amount: Grant Reimbursement to County - $147,247 Purpose: Clean <br />Fuel Advanced Technology Subaward, offsetting the costs of: 1.) A solar-powered electric vehicle charger with <br />battery backup; 2.) Replacing the County’s 12 remaining original electric vehicle charging stations; and 3.) <br />Upgrading a two year lease to an electric vehicle. Budget Code(s): 30240005 - 448055 - 71321 Vendor # 1787 <br />(N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New <br />Renewal Amendment Effective Date November 1, 2019 Approved by Board Yes No Agenda <br />Date: September 3, 2019 <br /> <br />This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br />on this project has not been initiated prior to execution of the agreement: <br /> <br /> <br />Department Director’s Signature ________________________________________ Date: ________ <br />Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br />agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br />was addressed: <br /> <br />Information Technologies <br /> <br />(Applicable only to hardware/software purchases or related services) This agreement has been reviewed and is <br />approved as to information technology content and specifications: <br /> <br />Office of the Chief Information Officer___________________________________ Date: ________ <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of the Risk Management Officer___________________________________ Date: _________ <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br />Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br /> <br />Clerk to the Board <br /> <br />DocuSign Envelope ID: 78958EB7-5B02-4CA0-8EAF-F3E892A7B33B <br /> <br /> <br /> <br />