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0.01Z- l $ ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> � `L��J <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 Humanity PartyNendor Contact Person: Susan Levy Contact Phone:919-932-7077 PartyNendor <br /> Address: 88 Vilcom Center Drive City Chapel Hill State:NC Zip:27514 Department:Housing/Human Rights and Community <br /> Development Amount:$75,000 Purpose:FY 2011 HOME Program Budget Code(s):32473005 Vendor# (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes❑No Contract Type: (Check one)New® Renewal❑ Amendment ® Effective Date <br /> 04/24/2012 Approved by Board Yes No❑ Agenda Date:05/03/2011 Title of Contract:Development Agreement <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑Non. 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: /b/,Department Director's Signat re: 2 'C/ Date: <br /> IT I're. or <br /> (Applicable only to hardware/software purchases or related services!' <br /> ervices is contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information techn s o l specifications: <br /> IT Director's Signature: Date: <br /> Risk n ement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ fessional; El Prooppe y; ❑ OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With i orpo tion of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary <br /> before approval Yes❑NojJ. If budget amendment is necessary,please attach to this form. y s instrument has been pre-audited in the <br /> manner required by the Local Government Budget nand Fiscal Control Act: <br /> Financial Services Director's Signature: 21 Date: C t L <br /> County Attorney <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 Mana: r ( ((A other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature I 41 Date: (a (S112-- <br /> d <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Ye o❑. <br /> This contract has been reviewed and is to be submitted for :O consideration Yes❑Nota" <br /> 1 2 <br /> Manager's Signature: Date: ��3 -/Z.--- <br /> Jerk to the Board <br /> Approved by BOCC on the day of _ j 0 . Submitted for Chair signature on the day of ,20 . <br /> Clerk's Signature: / y ,• • /— Date: /�g�Z <br /> D ' - lv <br /> Revised April 2010 / 62 6-- 1�6,6 ��%�� , <br />