HomeMy WebLinkAboutR 2014-299 AMS Riding Partners, Inc. for Land Lease for electric vehicle charging station shy_tA ORANGE COUNTY—CONTRACT CONTROL SHEET
Routing Order: (I�Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk
This Document shall accompany all contracts and shall be submitted for signature in the Routing Order 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
Party/Vendor Name: Riding Partners,Inc. Party/Vendor Contact Person: Matthew Johnson Contact Phone:(828)273-2619
Party/Vendor Address: 87 Shope Road City Asheville State:NC Zip:28805 Department:AMS Amount:Vendor to pay County
1/ ear Purpose:Lease land for electric vehicle chargin station Budget Code(s):N/A Vendor#N/A (N/A if new vendor) Vendor is
a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date June 2014
Approved by Board Yes®No❑ Agenda Date:4/15/2014 Title of Contract:7.0 DC Fast Charger Electric Vehicle Station
Licensing Agreement with Brightfield Transportation Solutions 0'e.
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were
bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: �'�� Q lr'�'_`— Date:
IT Director
(Applicable only to hardware/software purchases or related ervices)This contract has been reviewed and approved by the Information
Technology Director as to technical content and info ati technology specifications:
IT Director's Signature: Date:
Risk Manaeement
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as sho
by the Risk Manager: �j /� D
Risk Manager's Signature: // /�,- � Date: JUN 1 9 Z O 14
it r Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No A bu
before approval Yes❑No�If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Budg t and Fiscal Control Act: 1/
Financial Services Director's Signature: U. ' Date: I7
L-1 io
County Attorney
Approval by Board Z(Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Manager❑(Most other contracts$1,000 and above). Department Director approval only❑(Under
$1,000). This contract has been reviewed owed by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is appr a the County Manager Yes lo❑.
This contract has been reviewed an for s' ture by h ' Y No❑.
Manager's Signature: Date:
Clerk to the Board
Approved by BOCC on the_day of 20 . Submitted for Chair signature on the_day of 20
Clerk's Signature: Date:
Revised March 2012