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ORANGE COUNTY — CONTRACT CONTROL SHEET <br />Routing Order: (1) Department, (2) IT, (3) Risk Management, (4) Financial Services, (5) Attorney, (6) Manager, (7) Clerk <br />This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager <br />determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for <br />BOCC approval must be submitted through, and complete, the routing process prior to agenda review. Contracts for legal review should <br />be completed through the legal review process prior to being routed for signature. <br />Department <br />Party/Vendor Name: Habitat for ani of Orange County, NC Inc. Party/Vendor Contact Person: Susan Levy Contact Phone: 919- <br />932 -7077 Party/Vendor Address: 88 Vilcom Center rive, urte City Chapel Hill State: NC Zip: 27514 Department: <br />Housing/Human Rights and Communi!y Development Amount: $150,000 Purpose: HOME Program - Second Mortgage Assistance <br />Budget Code(s): 32473020 783010 47310 Vendor # (N /A if new vendor) Vendor is a BOCC consultant? Yes No <br />Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 02/10/2012 Approved by Board Yes❑ No❑ <br />Agenda Date: 05/03/2011 Title of Contract: FY 2011 - 2012 HOME Program <br />If this is a Grant Agreement, pre - application has been approved by the Board of Commissioners Yes❑ No❑. If submitted for bid were <br />bids/RFPs received Yes❑ No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br />technical content: <br />Department Director's Signatur . Date: <br />IT Director <br />(Applicable only to hardware /software purchases or related services) This contract has been reviewed and approved by the Information <br />Technology Director as to technical content and information technology specifications: <br />IT Director's Signature: Date: �' <br />' r p�' -�j (itral/It -4& L�YI <br />Risk Management No our ur I � UC (�lYl'� OA441? <br />Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property;0 o Insurance Required ❑. Hold <br />Contract pending receipt of Certificate of Insurance El. With incorporation of Insurance ovisions as shown, this contract is approved <br />by the Risk Manager: fW <br />Risk Manager's Signature: Date: 0 • % • /Z-" <br />Ape 1 3(0112 <br />Financial Services <br />This Contract is conditioned upon appropriation by the Board of Commissioners Yes ❑NoI. A budget amendment is necessary <br />before approval Yes❑ Not. If budget amendment is necessary, please attach to this form. This instrument has been pre- audited in the <br />manner required by the Local Government Budget and Fiscal �Control Act: <br />Financial Services Director's Signature: U ""... ✓� /YY Date: 2 <br />Countv Attorne <br />Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br />contract). Approval by M f�l er All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br />form and sufficiency: n <br />Attorney's Signature \ Date: x>17• -- <br />Countv Manager <br />This contract has been reviewed and is approved by the County Manager Yes ❑. <br />This contract has been reviewed and is to be su ed for BOCC consideration Yes❑N,oQ- <br />Manager's Signature: Date: 3 z r <br />l <br />t to the Board <br />Approved by BOCC on the _ day of , 2 Submitted for Chair signature on t _ day of , 20 <br />Clerk's Signature: Date: ]?/) Z,L\� <br />Revised April 2010 <br />