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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: Community Horne Trust Party/Vendor Contact Person: Robert Dowling Contact Phone:919-967-1545 <br /> Party/Vendor Address:P.O.Box 307 City Carrboro State:NC Zip:27510 Department:Housing/Human Rights and Community <br /> Development Amount:$215,000 Purpose:2011-2012 HOME Investment Partnership Program Budget Code(s):32473020 789011 <br /> 47311 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New❑ <br /> Renewal❑ Amendment ® Effective Date 07/29/2012 Approved by Board Yes®No❑ Agenda Date:05/2/2011 Title of <br /> Contract:Amendment to Attachment A CHDO Agreement S.S.I <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: rr�� <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 /> Risk Manaeement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required ff. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk g <br /> er <br /> Mana g 's Signature: w`��-w �� Date: a 12, <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❑No[V 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: `L4, A • Date: <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 Man er 14 (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date: a l L- <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yesc�-No❑. <br /> This contract has been reviewed and is to be submitted for BOCC consideration Yes❑Nol::I:- <br /> Manager's Signature: Date: <br /> UPMCto the Board <br /> Approved by BOCC on the_day of ,20 . Submitted for Chair signature on the T day of 20 <br /> Clerk's Signature: Date: <br /> Revised April 2010 <br />