HomeMy WebLinkAbout2012-081 S AMS - ALT Services Group $84,530 ^
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'' ORANGE COUNTY—CONTRACT CONTROL SHEET c�
Routing Order: (])Dupur��co�(2)lT,8)Diik��umu&o/ucn�(4)F�anoiaiScrvicox, (5)/t�oroey. o888onuge� (7v Clerk
This Document o6aUuc000upaoyall con�actoand shall bcxuhmiuod for oiguam,oiu the R»udog(�de,specified above. If'the Manager
determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for
BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should
be completed through the legal review process prior to being routed for signature.
Department
PuctyNcndorYVumr: ALT Services Group Party/Vendor Contact Person: Dan Thomas Contact Phone:252-430-0326 Party/Vendor
Address: 118 Peter Gill Road City Henderson State: NC Zip:27537 Department:N/A Amount: not to exceed$84,530.00 Purpose:
Electric Vehicle Chargi Stations Budget Code(s): 29240030-880000-71320 Vendor# (N/A if new vendor) Vendor is a BOCC
consultant? Yes []Y4o[] Contract Type: (Check one)New El Renewal El Amendment 0 Effective Date Approved by
Board `ycx0 lNo00 Agenda Date: N/A Title of Contract: EV Charging Station Installation
'
If this is a Grant Agreement,pre-application has been approved by the Board of Conumixoiovco)/omZ No0. If submitted for bid were
,
bids/RFPs received Yes NoFl Bid/gFp number 367-/h49Tbiu contract has been reviewed and approved by the Department Director
as to technical content:
Department Director's Signature: Date: 3 - 30 ' /7-~
IT Director
(Applicable only^o6uruwu,u/s9ftwu,e purchases or related services)This contract has been reviewed and approved by the Information
Technology Director as to technical content and information technology specifications:
IT Director's Signature: Date:
Risk Management
Include the following coverages: 2"CGL; D~Auto; [},WC; El Professional; 0 Property; OR No Insurance Required 0. Hold
Contract pending receipt of Certificate of Insurance El. With incorporation of Insurance provisions as shown, this contrac is approved
by the Risk Manager:
Risk Manager's Signature: i
KX Date: J' 36' iv
gr lel c7/,L. 31"17W- �41.4 -
Financial Services
This Contract is condition pon appropriation by the Board of Commissioners 0 A budget amendment is necessary
before approval l'co0 No � If budget amendment is necessary, please attach to this form. ��^ ino�umc,uhas been pre-audited in the
manner required by the Louu�Govcron`nntB t and Fiscal Cntr |Act:
Financial Services Director's Signature: CIAL--1.4-." / '
Date: vI 11-
County Attorney
Approval by Board Fl (Contracts $90.000.00 or more for goods or services, $250,080.00 or more for couxumcdno, or any BOCC
consultant contract). Approval by Manag ost other contracts$1,000 and above). Department Director approval only El (Under
$1.000). This contract has bc�� evin`vud and approved hf the'��oruoyuuto legal form and ouf§cicncy:
�'�
Attorney's Signature �^
7 " 1 Date: �� Z.
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County Manager
This contract has been reviewed and io approved by the County Manager xow1_|��
lNoL].
This contract has been reviewed and is for sig . u ^ by the Chair Yce0Norg~''
Manager's Signature: 3 Date: ~4 -/ v, /
�--
Clerk to the Board
Approved by BOCC on the day of � ~� ' mittedDnChui,oigumumood,c day of
,20 .
Clerk's Signature: i Date: 7/1Z____.-
Revised March 2012