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„c7,f»._;;_ es() <br /> 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 /> PartyNendor Name: Habitat for Humanity of Orange County,NC PartyNendor Contact Person: Susan Levy Contact Phone:919-932- <br /> 7077 PartyNendor Address: 88 Vilcom Center Drive City Chapel Hill State:NC Zip: 27514 Department: Outside Agency Amount: <br /> $10,000 Purpose:Outside Agency Budget Code(s): 10495050-710023 Vendor#800020 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes CI No Contract Type:(Check one)New E Renewal CI Amendment 0 Effective Date 07/01/2012 Approved by <br /> Board Yes[X]NoD Agenda Date:06/19/2012 Title of Contract:2012-13 Outside Agency Performance Agreement <br /> If this is a Grant Agreement,pre-application has bee, approved by the Board of Commissioners YesD No0. If submitted for bid were <br /> bids/RFPs received Yes[I]NoD Bid/RFP nu/her his contract has been reviewed and approved by the Department Director as to <br /> technical content: ....— <br /> 401/214-01, <br /> Department Director's Sign.ture: Aral Y4*A t) <br /> ■ — Date: 7e” 11 "I 2 -- <br /> ■ftwilp <br /> IT Di ctor <br /> (Applicable only to hardware/software purchases or relat.: :- . ces)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 /> /Risk M3nagement <br /> Include the following coverages: N/j/CGL; 2/Auto; 'WC; 111UProfessiona1; El Property; El OR No Insurance Required 0. Hold <br /> Contract pending receipt of Certificate of Insurance EUe With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: alci..,,,... 2' A...,_ Date: rillq,z, <br /> Financial Services <br /> This Contract is conditioned u appropriation by the Board of Commissioners Yes0NoW A budget amendment is necessary <br /> before approval Yes[]No[ (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: tv.44./ <br /> 1,16/ 11/' Date: lii et/4. <br /> County Attorney <br /> Approval by Board 0 (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Mani,-r 0 (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature / 00. Date: ES <br /> County Mana!er <br /> This contract has been reviewed and is approved by the County Manager YcsIETNo0. <br /> This contract has been reviewed and is to be submitted for BOCC consideration Yel/NloD. <br /> Manager's Signature: DA0 i I Date: ? —(& / Z <br /> .lerk to the Board <br /> Approved by BOCC on the day of 411,w,, . • bmitted for Chair siature19.on the day/of ,20 . <br /> mit <br /> Clerk's Signature: T I 6 Date: <br /> Revised April 2010 <br /> IMIIMIIMIIMIIIIMIMIIIIMIIIIMIMMMIIMMIIMIMIMIIII <br />