HomeMy WebLinkAboutR 2016-692-E AMS - CST Fleet Services for post chargeback study and fleet efficiency activities DocuSign Envelope ID:9AA5E326-97D5-4361-B4DA-516EAE150E42
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: CST Fleet Services Party/Vendor Contact Person: Ron Hall Contact Phone: 336-287-8348
Party/Vendor Address: 1325 Central Road City Clemmons State: NC Zip: 27012 Department: AMS Amount: NTE
51000 Purpose: Post Chargeback Study and Fleet Efficiency Activities Budget Code(s): 10240420-630000 Vendor#
63690 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑
Renewal❑ Amendment ® Effective Date 12/02/2016 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical fort�L�Joa/ng�'oAt�e,.
Department Director's Signature nt:
d 6; o jxo° Date: 12/1/2016
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9E880A46CF64498...
Information Technologies
(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:
Docu5igned��,by: 11i1
Office of the Risk Management Officer Pausa, ('6 6 Date: 12/3/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the mannerjroe g�j�bby the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer °'�"��°'v Date: 12/5/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and s4�j� &dyuy:
Office of the County Attorney 56,�6, rb�� Date: 12/5/2016
AA3D33ED8A8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollod(cr�,oran eg countvnc og_v
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 6/16 4