HomeMy WebLinkAbout2016-138 Planning - NCDOT for transit service expansion along US 70 corridor 0039
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NORTH CAROLINA LOCALLY ADMINISTERED PROJECT—
FEDERAL:VEHICLE PURCHASE/TRANSIT
ORANGE COUNTY
DATE: 12/1/2015
NORTH CAROLINA DEPARTMENT OF
TRANSPORTATION
TIP* C-5602 A
AND WBS Elements: PE
ROW
ORANGE COUNTY CON 43710.3.2
OTHER FUNDING:
FEDERAL-AID NUMBER: CMS-0708(073)
CFDA#: 20.205
Total Funds[NCDOT Participation] $164,129
THIS AGREEMENT is made and entered into on the last date executed below, by and between the
North Carolina Department of Transportation, an agency of the State of North Carolina, hereinafter
referred to as the"Department"and the Orange County, hereinafter referred to as the"County".
WITNESSETH:
WHEREAS, Section 1113 of the Moving Ahead for Progress in the 21 st Century(MAP-21)allows for
the allocation of Congestion Mitigation and Air Quality funds to be available for certain specified
transportation activities;and,
WHEREAS,the County has requested federal funding for Orange County Transit Service Expansion,
hereinafter referred to as the Project, in Orange County, North Carolina; and,
WHEREAS, subject to the availability of federal funds,the County has been designated as a recipient
to receive funds allocated to the Department by the Federal Highway Administration(FHWA) up to
and not to exceed the maximum award amount of$164,129 for the Project; and,
WHEREAS,the Department has agreed to administer the disbursement of said funds on behalf of
FHWA to the County for the Project in accordance with the Project scope of work and in accordance
with the provisions set out in this Agreement; and,
WHEREAS,the Department has programmed funding in the approved Transportation Improvement
Program for the Project;and,
WHEREAS,the governing board of the County has agreed to participate in certain costs and to
assume certain responsibilities in the manner and to the extent as hereinafter set out; and,
Agreement ID#6119 1
WHEREAS,this Agreement is made under the authority granted to the Department by the North
Carolina General Assembly including, but not limited to, the following applicable legislation: General
Statutes of North Carolina(NCGS) Section 136-66.1, Section 136-71.6, Section 160A-296 and 297,
Section 136-18, Section 136-41,3 and Section 20-169, to participate in the planning, construction
and/or implementation of the Project approved by the Board of Transportation.
NOW, THEREFORE, this Agreement states the promises and undertakings of each party as herein
provided, and the parties do hereby covenant and agree, each with the other, as follows:
1. GENERAL PROVISIONS
FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT
All parties to this Agreement, including contractors, subcontractors, and subsequent workforce ,
associated with any work under the terms of this Agreement shall provide reports as required by
the Federal Funding Accountability and Transparency Act(FFATA)for this Project.
AGREEMENT MODIFICATIONS
Any modification to scope,funding, responsibilities, or time frame will be agreed upon by all
parties by means of a Supplemental Agreement.
LOCAL PUBLIC AGENCY TO PERFORM ALL WORK
The County shall be responsible for administering all work performed and for certifying to the
Department that all terms set forth in this Agreement are met and adhered to by the County
and/or its contractors and agents, The Department will provide technical oversight to guide the
County, The Department must approve any assignment or transfer of the responsibilities of the
County set forth in this Agreement to other parties or entities.
PERSON IN RESPONSIBLE CHARGE
The County shall designate a person or persons to be in responsible charge of the Project, in
accordance with Title 23 of the Code of Federal Regulations, Part 635.105. The person, or
persons, shall be expected to.
■ Administer governmental project activities, including those dealing with cost,time,
adherence to contract requirements, construction quality and scope of Federal-aid
projects;
Agreement ID#6119 2
• Maintain knowledge of day to day project operations and safety issues;
• Make or participate in decisions about changed conditions or scope changes that
require change orders or supplemental agreements;
® Visit and review the project in accordance with the project scope and scale;
Review financial processes,transactions and documentation to reduce the likelihood
of fraud,waste, and abuse;
Direct project staff,agency or consultant, to carry out project administration and
contract oversight, including proper documentation,and
Be aware of the qualifications„ assignments and on-the-job performance of the
agency and consultant staff at all stages of the project.
The person in responsible charge must be a full-time employee of the County, but the duties may
be split among several employees, if necessary.
COMPLIANCE WITH STATE/FEDERAL POLICY
The County,and/or its agent, including all contractors, subcontractors,or sub-recipients shall
comply with all applicable Federal and State policies and procedures, stated both in this
Agreement and in the Department's guidelines and procedures„ including the Local Programs
Management Handbook,
FAILURE TO COMPLY-CONSEQUENCES
UENCES
Failure on the part of the County to comply with any of the provisions of this Agreement will be
grounds for the Department to terminate participation in the costs of the Project and, If applicable,
seek repayment of any reimbursed funds.
2. SCOPE OF PROJECT
The Project consists of funding one, 8', -passenger diesel-powered expansion light transit
vehicle(LTV)and operating assistance to support transit service expansion alone the US 70
corridor between Mebane and Hillsborough.
The Department's funding participation in the Project shall be restricted to the following eligible
items:
Agreement ICS#6119
0 Purchase of 28', 22-passenger diesel-powered transit vehicle
as further set forth In this Agreement,
3. FUNDING
REIMBURSEMENT FOR ELIGIBLE ACTIVITIES
Subject to compliance by the County with the provisions set forth in this Agreement and the
availability of federal funds, the Department shall reimburse 80% of eligible expenses incurred by
the County up to a maximum amount of One Hundred Sixty Four Thousand One Hundred Twenty
Nine Dollars($164,129), as detailed below, The County shall provide the non-federal match, as
detailed in the FUNDING TABLE below, and all costs that exceed the total estimated cost,
FUNDING TABLE
Fund Source Federal Funds Reimbursement Non-Federal Non-Federal
Amount Rate Match$ Match Rate
............
Congestion $164,129 80% $41,033 20%
Mitigation and Air
Quality
Total Estimated Cost
WORK PERFORMED BY NC DOT
All work performed by the Department on this Project, including, but not limited to, reviews,
inspections, and Project oversight, during any phase of the delivery of the Project, shall reduce
the funding available to the County under this Agreement. The Department will set aside ten
percent(10%)of the total estimated cost, or$16,413,to use towards the costs related to review
and oversight of this Project, including, but not limited to review and approval of plans,
environmental documents, contract proposals, engineering estimates, construction engineering
and inspection oversight, and other items as needed to ensure the County's appropriate
compliance with state and federal regulations.
In the event that the Department does not utilize all the set-aside funding,then those remaining
funds will be available for reimbursement to the County at the above reimbursement rate. For all
costs of work performed on the Project,whether incurred by the County or by the Department, the
County shall provide the non-federal match, The Department will bill the County for the non-
federal match of any costs that the Department incurs on the Project and for any costs that
exceed the Total Estimated Cost.
Agreement ID#6119 4
4. PERIOD OF PERFORMANCE
The County shall complete the Project by 09/30/2018. Completion for this Agreement is defined
as completion of the vehicle purchase and submission of a final reimbursement package to the
Department.
The Department and/or FHWA reserves the right to revoke the funds awarded if the County is
unable to meet milestone dates Included herein.
6. PLANNING / ENVIRONMENTAL DOCUMENTATION
The County shall prepare the environmental and/or planning document, including any
environmental permits, needed to construct the Project, in accordance with the National
Environmental Policy Act(NEPA) and all other appropriate environmental laws and regulations.
All work shall be performed in accordance with Departmental procedures and guidelines. Said
documentation shall be Submitted to the Department for review and approval,
■ The County shall be responsible for preparing and filing with all proper agencies the
appropriate planning documents, including notices and applications required to apply for
those permits necessary for the construction of the desired improvements. Copies of
approved permits should be forwarded to the Department.
■ The County shall advertise and conduct any required public hearings,
• If any permit issued requires that action be taken to mitigate impacts associated with the
improvements,the County shall design and implement a mitigation plan. The Department
will determine if any mitigation costs are eligible for reimbursement.The County shall
bear all costs associated with penalties for violations and claims due to delays.
• The County shall be responsible for designing an erosion control plan If required by the
North Carolina Sedimentation Pollution Control Act of 1973, NCG$ 113A,Article 4,
incorporated in this Agreement by reference at
www,ncle net/oascrit)is/Stotuesl.$,tattjtos,asp and obtaining those permits required
thereby in order to construct the Project. During the construction of the improvements,
the County, and its contractors and agents, shall be solely responsible for compliance
with the provisions of said Act and the plan adopted in compliance therewith.
Agreement ID#6119 5
6. AUTHORIZATION OF FUNDS
The County shall submit the required environmental and/or planning document to the Department
for review and approval.
After approval of all documentation,the Department will request funding authorization
from the Federal Highway Administration.
The County shall initiate the operation of service prior to receiving written authorization
from the Department.
T. OPERATION OF TRANSIT SERVICES
The County shall operate the'Transit Service in accordance with applicable federal,state, and
local guidelines.
Upon completion of the three-year period, or when all funding is fully reimbursed,whichever is
sooner,the County shall be responsible for providing a certification to the Department that all
work performed for this Project is in accordance with all applicable standards, guidelines, and
regulations.
8. VEHICLE PROCUREMENT
PURCHASE THROUGH THE STATE CONTRACT
The Department,through the North Carolina Department of Administration, Purchase and
Contract Division, awards vehicle contracts to purchase vehicles for public use, These vehicle
contracts comply with Federal Transit Administration (FTA) and State requirements, The County
may utilize these vehicle contracts to purchase public vehicles, but must provide assurance that
contracts also meet Federal Highway Administration (FHWA) requirements. For vehicles not
included in these contracts,the Contractor shall conduct a competitive procurement process in
accordance with this Agreement,
Agreement ID#6119 6
PURCHASE OUTSIDE OF THE STATE CONTRACT
When purchasing vehicles outside the State Contract, the County shall develop a contract
proposal and submit to the Department for review and approval prior to initiating work, The
proposal be in compliance with and include applicable language concerning the following federal
laws, regulations, and state requirements.
0 Title 49, Code of Federal Regulations, Part 18;
a North Carolina General Statute: 143-129; and 143-131,
BUY AMERICA
All vehicle purchases funded through FHWA must meet Buy America requirements, stipulated at
23 USC 313, with regulatory provisions found at 23 CFR 635•1410, unless a waiver from Buy
America is obtained from FHWA.
9. USE OF VEHICLE /ROLLING STOCK
The County agrees to use Project property for appropriate Project purposes.
The County shall maintain all project equipment at a high level of cleanliness, safety, and
mechanical soundness In accordance with the minimum maintenance requirements
recommended by the manufacturer.
TITLE TO VEHICLES
• The Certificate of Title to all vehicles purchased shall be in the name of the County. In
the event of project termination or breach of contract provisions,the County shall, upon
written notification by the Department, surrender all vehicles and/or transfer the
Certificate(s)of Title for all vehicles to the Department or the Department's designee.
• The County agrees that the Federal or State Government may direct the disposition of,
and even require the County to transfer title to any Project property financed with
Federal/State assistance under this Agreement.
• The County agrees that it will not execute any transfer of title, lease,lien, pledge,
mortgage,encumbrance,third party contract,sub-agreement, grant anticipation note,
alienation, innovative finance arrangement(such as a cross border lease, leveraged
lease, or otherwise), or any other obligation pertaining to Project property, that in any way
would affect the continuing Federal and State interest in that Project property.
Agreement ID#6119 '7
LENSING PROJECT PROPERTY TO ANOTHER PARTY
• Prior to entering into any third party contract for leasing Project property to another party,
the County agrees to obtain approval from the Department..
• If the County leases any Project property to another party,the County agrees to retain
ownership of the leased Project property, and assure that the lessee will use the Project
property appropriately,through a written lease between the County and lessee, The
County agrees to use the standard lease agreement form provided by the Department
and to provide a copy of the signed, executed lease agreement to the Department.
• It is the County's primary responsibility to comply with Federal and State requirements of
this Agreement and assure the compliance of any third party contractor.
DISPOSITION OF PUBLIC PROPERTY
The County and the Department agree that the useful life for the Project property is three
years. The County will use Project property continuously and appropriately throughout
the useful life of that property. Upon the end of the period of useful life,the County may
dispose of Project property.
When the useful life of Project property has expired,the County agrees to comply with
the Department's disposition requirements as referenced at
htt s1/connect nc-o , ov/businessfTransit/Pa�,es/Transit-Finar i l- ana ement-
esources,as_ox [Click on Procurement Tab and see D soosition Policy Guidelines
under NEW VEHICLE.
For Project property withdrawn from appropriate use before its useful life has expired,the
County agrees as follows:
o r otification Requirement, The County agrees to notify the Department
immediately when any Project property is prematurely withdrawn from
appropriate use,whether by planned withdrawal, misuse, or casualty loss,.
o Calculatina the Fair Market V l P oral Withdrawn Pro"act Pr
The County agrees that the Federal/State Government retains a Federal/State
interest in the fair market value of Project property prematurely withdrawn from
appropriate use. The amount of the Federal/State interest in the Project property
shall be determined by the ratio of the Federal/State assistance awarded for the
property to the actual cost of the property. The County agrees that the fair
Agreement ID#6119
market value of Project property prematurely withdrawn from use will be
calculated as follows,
Equig!ngpt god§_upR1ie§ The County agrees that the fair market value
of Project equipment and supplies shall be calculated by straight-line
depreciation of that property, based on the useful life of the equipment or
supplies as established by the Department. The fair market value of
Project equipment and supplies shall be the value immediately before
the occurrence prompting the withdrawal of the equipment or supplies
from appropriate use. In the case of Project equipment or supplies lost
or damaged by fire, casualty, or natural disaster,the fair market value
shall be calculated on the basis of the condition of that equipment or
supplies Immediately before the fire, casualty, or natural disaster,or the
amount of insurance coverage,whichever is greater.
■ Exceptional Cit gmstance& The County agrees that the Department
may require the use of another method to determine the fair market
value of Project property. In unusual circumstances,the County may
request that another reasonable valuation method be used including, but
not limited to,accelerated depreciation, comparable sales, or established
market values. In determining whether to approve such a request,the
Department may consider any action taken, omission made,or
unfortunate occurrence suffered by the County with respect to the
preservation of Project property withdrawn from appropriate use.
Financial Obligation'to,thge Eq_d@[al tate Government: The County agrees to
remit to the Department the Federal and State interest in the fair market value of
any Project property prematurely withdrawn from appropriate use. In turn,the
Department shall be responsible to remit the Federal interest to FHWA, In the
case of fire,casualty,or natural disaster,the County may fulfill its obligations to
remit the Federal and State interest by either°
M Investing an amount equal to the remaining Federal and State interest in
like-kind property that is eligible for assistance within the scope of the
Project that provided Federal/State assistance for the Project property
prematurely withdrawn from use;or,
0 Returning to the Department an amount equal to the remaining Federal
and State interest in the withdrawn Project property.
Agreement ID#5119 9
INSURANCE PROCEEDS
If the County receives insurance proceeds as a result of damage or destruction to the
Project property,the County agrees to:
0 Apply those insurance proceeds to the cost of replacing the damaged or
destroyed Project property taken out of service;or,
0 Return to the Department an amount equal to the remaining Federal and
State interest in the damaged or destroyed Project property.
IO.CLOSE-OUT
Upon completion of the Project, the County shall be responsible for the following;
FINAL PROJECT CERTIFICATION
The County will provide a certification to the Department that all work performed for this Project is
in accordance with all applicable standards, guidelines, and regulations.
The County agrees that Project closeout by the Department will not change the County's property
management responsibilities and may be set forth in subsequent Federal and State laws,
regulations, and directives,except to the extent the Department determines otherwise in writing,
11.REIMBURSEMENT
SCOPE OF REIMBURSEMENT
Activities eligible for funding reimbursement for this Project shall include:
a Purchase of 28', 22-passenger diesel-powered transit vehicle
REIMBURSEMENT GUIDANCE
The County shall adhere to applicable administrative requirements of Title 2 Code of Federal
Regulations, Part 200 (www,ftiwa.dot.ggy/legsregs/d_irg gtives/L apg t_og,htm)"Uniform
Administrative Requirements, Cost Principles and Audit Requirements for Federal Awards."
Reimbursement to the County shall be subject to the policies and procedures contained in Title
23 Code of Federal Regulations, Part 140 and Part 172,which is being incorporated into this
Agreement ID#6119 10
Agreement by reference at M",fhwa,dgt,ggv/1!2gsLegs/direotives/fapcitoc.htm. Reimbursement
to the County shall be subject to the guidance contained in Title 2 Code of Federal Regulations,
Part 170 i(hillp://edooket.access.gpo.gov/201 01 pdf/201 Q-227Q5.Rdf)and Office of Management
and Budget(OMB) "Federal Funding Accountability and Transparency Acf'(FFATA). Said
reimbursement shall also be subject to the Department being reimbursed by the Federal Highway
Administration and subject to compliance by the County with all applicable federal policy and
procedures.
REIMBURSEMENT LIMITS
■ WORK PERFORMED BEFORE NOTIFICATION
Any costs incurred by the County prior to written notification by the Department to
proceed with the work shall not be eligible for reimbursement.
■ NO REIMBURSEMENT IN EXCESS OF APPROVED FUNDING
At no time shall the Department reimburse the County costs that exceed the total funding
per this Agreement and any Supplemental Agreements.
■ UNSUBSTANTIATED COSTS
The County agrees that it shall bear all costs for which it is unable to substantiate actual
costs or any costs that have been deemed unallowable by the Federal Highway
Administration and/or the Department's Financial Management Division.
■ WORK PERFORMED BY NCDOT
All work performed by the Department on this Project, including, but not limited to,
reviews, inspections,and Project oversight,shall reduce the maximum award amount of
$164,129 available to the County under this Agreement, The Department will bill the
County for the non-federal match of any costs that the Department incurs on the Project
and for any costs that exceed the Total Estimated Cost,
BILLING THE DEPARTMENT
PROCEDURE
The County may bill the Department for eligible Project costs in accordance with the
Department's guidelines and procedures. Proper supporting documentation shall
Agreement ID#6119 11
accompany each invoice as may be required by the Department. By submittal of each
invoice, the County certifies that It has adhered to all applicable state and federal laws
and regulations as set forth in this Agreement.
Along with each invoice, the County is responsible for submitting the FFATA SLIbrecipient
Information Form,which is available at
htt sWconnect.ncdot. ov/tnunicir)alike s/Fvnding/Pa g@,s/defaLlit.aspx,
• INTERNAL APPROVALS
Reimbursement to the County shall be made upon approval of the invoice by the
Department's Financial Management Division.
• TIMELY SUBMITTAL OF INVOICES
The County may invoice the Department monthly for work accomplished, but no less than
once every six(6)months to keep the Project funds active and available. If the County is
unable to invoice the Department,then they must provide an explanation. Failure to
submit invoices or explanation may result in de-obligation of funds.
• FINAL INVOICE
All invoices associated with the Project must be submitted within six(6)months of the
completion of construction and acceptance of the Project to be eligible for reimbursement
by the Department. Any invoices submitted after this time will not be eligible for
reimbursement,
12.REPORTING REQUIREMENTS AND RECORDS RETENTION
PROJECT EVALUATION REPORTS
The County is responsible for submitting quarterly Project evaluation reports, in accordance with
the Department's guidelines and procedures that detail the progress achieved to date for the
Project.
PROJECT RECORDS
The County and its agents shall maintain all books, documents, papers, accounting records,
Project records and such other evidence as may be appropriate to substantiate costs incurred
under this Agreement. Further,the County shall make such materials available at its office and
Agreement ID#6119 12
shall require its agent to make such materials available at its office at all reasonable times during
the contract period, and for five (5) years from the date of payment of the final voucher by the
Federal Highway Administration,for inspection and audit by the Department's Financial
Management Section, the Federal Highway Administration, or any authorized representatives of
the Federal Government.
13.OTHER PROVISIONS
REFERENCES
It will be the responsibility of the County to follow the current and/or most recent edition of
references, websites, specifications, standards, guidelines, recommendations, regulations and/or
general statutes, as stated in this Agreement.
INDEMNIFICATION OF DEPARTMENT
The County agrees to indemnify and hold harmless the Department, FHWA and the State of
North Carolina,to the extent allowed by law, for any and all claim for payment, damages and/or
liabilities of any nature,asserted against the Department in connection with this Project, The
Department shall not be responsible for any damages or claims,which may be initiated by third
parties.
DEBARMENT POLICY
It is the policy of the Department not to enter into any agreement with parties that have been
debarred by any government agency(Federal or State). By execution of'this agreement,the
County certifies that neither it nor its agents or contractors are presently debarred, suspended,
proposed for debarment, declared ineligible or voluntarily excluded from participation in this
transaction by any Federal or State Agency or Department and that it will not enter into
agreements with any entity that is debarred, suspended, proposed for debarment, declared
ineligible or voluntarily excluded from participation in this transaction.
TITLE VI-CIVIL RIGHTS ACT OF 1964
The County shall comply with Title VI of the Civil Rights Act of 1964, (Title 49 CFR, Subtitle A,
Part 21). Title VI prohibits discrimination on the basis of race, color, national origin, disability,
gender, and age in all programs or activities of any recipient of Federal assistance.
Agreement ID#6119 13
OTHER AGREEMENTS
The County is solely responsible for all agreements, contracts, and work orders entered into or
issued by the County for this Project. The Department Is not responsible for any expenses or
obligations incurred for the Project except those specifically eligible for Congestion Mitigation and
Air Quality funds and obligations as approved by the Department under the terms of this
Agreement.
AVAILABILITY OF FUNDS
All terms and conditions of this Agreement are dependent upon, and, subject to'the allocation of
funds for the purpose set forth in the Agreement and the Agreement shall automatically terminate
if funds cease to be available.
IMPROPER USE OF FUNDS
Where either the Department or the FHWA determines that the funds paid to the County for this
Project are not used in accordance with the terms of this Agreement,the Department will bill the
County,
TERMINATION OF PROJECT
If the County decides to terminate the Project without the concurrence of the Department,the
County shall reimburse the Department one hundred percent(100%)of all costs expended by the
Department and associated with the Project.
AUDITS
In accordance with OMB Circular A-133, "Audits of States, Local governments and Non-Profit
Organizations" (htt .0/www,whitehouse, q Q v/omblcirculars default]and the Federal Single Audit
Act Amendments of 1996,the County shall arrange for an annual independent financial and
compliance audit of its fiscal operations. The County shall furnish the Department with a copy of
the annual independent audit report within thirty(30)days of completion of the report,but not
later than nine(9) months after the County's fiscal year ends,
REIMBURSEMENT BY COUNTY
For all monies due the Department as referenced in this Agreement, reimbursement shall be
made by the County to the Department within sixty(60) days of receiving an invoice. A late
Agreement ID#6119 14
payment penalty and interest shall be charged on any unpaid balance due in accordance with
NCGS 147-86.23.
ENTIRE AGREEMENT
This Agreement contains the entire agreement between the parties and there are no
understandings or agreements,verbal or otherwise, regarding this Agreement except as
expressly set forth herein.
AUTHORIZATION TO EXECUTE
The parties hereby acknowledge that the individual executing the Agreement on their behalf is
authorized to execute this Agreement on their behalf and to bind the respective entities to the
terms contained herein and that he has read this Agreement,conferred with his attorney, and fully
understands its contents.
FACSIMILE SIGNATURES
A copy or facsimile copy of the signature of any party shall be deemed an original with each fully
executed copy of the Agreement as binding as an original, and the parties agree that this
Agreement can be executed in Counterparts, as duplicate originals,with facsimile signatures
sufficient to evidence an agreement to be bound by the terms of the Agreement.
GIFT BAN
By Executive Order 24, issued by Governor Perdue, and NCGS 133-32, it is unlawful for any
vendor or contractor((e. architect, bidder, contractor, construction manager, design professional,
engineer, landlord, offeror, seller, subcontractor,supplier, or vendor), to make gifts or to give
favors to any State employee of the Governor's Cabinet Agencies(i.e.Administration,
Commerce, Correction, Crime Control and Public Safety, Cultural Resources, Environment and
Natural Resources, Health and Human Services, Juvenile Justice and Delinquency Prevention,
Revenue,Transportation, and the Office of the Governor).
14.SUNSET PROVISION
All terms and conditions of this Agreement are dependent upon,and subject to, the allocation of
funds for the purpose set forth in the Agreement and the Agreement shall automatically terminate
if funds cease to be available,
Agreement ID#6119 16
IT IS UNDERSTOOD AND AGREED that the approval of the Project by the Department is
subject to the conditions of this Agreement, and that no expenditures of funds on the part of the
Department will be made until the terms of this Agreement have been complied with on the part of
the County.
Agreement ID#6119 16
IN WITNESS WHEREOF,this Agreement has been executed, in duplicate, the day and year
heretofore set out, on the part of the Department and the County by authority duly given..
L.E.ATTEST: ORANGE COUNTY
BY BY:
TITLE: Hn TITLE:
DATE: M r
NCGS 133-32 and Executive Order 24 prohibit the offer to, or acceptance by, any State Employee of
any gift from anyone with a contract with the Mate, or from any person seeking to do business with
the State. By execution of any response in this procurement, you attest,for your entire organization
and its employees or agents,that you are not aware that any such gift has been offered, accepted, or
promised by any employees of your organization,
This Agreement has been pre-audited in the manner
require y the L cal Gov n ent Budget and Fiscal
Contr ct,
,too 0
(FINrax E OFFICER)
Federal Iden tification Number
Orange County
Remittance Address:
DEPARTN E TR SPORT ION
BY:
(CHIEF ENGINES )
DATE: °
APPROVED BY BOARD OF TRAN$PORTATION ITEM O: � �"� %� (gate)
Agreement ID#6119 17