HomeMy WebLinkAboutR 2016-197-E AMS - CST Fleet Services for Fleet Management Internal Services Fund Analysis DocuSign Envelope ID: C9602884-99B7-4D01-8E6D-E5DB069ABB26
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: CST Fleet Services Party/Vendor Contact Person: Hayes Smith Contact Phone: 336-287-
5882 Party/Vendor Address: 1325 Central Road City Clemmons State: NC Zip: 27012 Department: AMS
Amount:40.210 Purpose: Fleet Management Internal Services Fund Analysis Budget Code(s): 1024-0420-630000
Vendor#63690 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check one)
New ® Renewal ❑ Amendment ❑ Effective Date April 1, 2016 Approved by Board Yes[—] No®
Agenda Date:
This agreement is approved as to technical form and content:
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Department Director's Signature l,°.#7Ae _ Date: 4/2/2016
Information Technolouies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
DocuSignetl by:
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Office of the Risk Management Office Date: 4/3/2016
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
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Office of the Chief Financial Officer C(IaN °" °" Date: 4/3/2016
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Lezal Services
This agreement is approved as to legal form and sufficiency:
Oowsignetl by:
Office of the County Attorney �6L, rOyty� Date: 4/4/2016
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollo dy�rc orangecoun nc.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 1/16
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