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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: Housing for New Hope Party/Vendor Contact Person: Terry Allebaugh Contact Phone:919-489-6282 <br /> Party/Vendor Address: 18 West Colony Place,Suite 250 City Durham State:NC Zip:27707 Department:Housing/Human Rights and <br /> Community Development Amount:$50,000 Purpose:HOME Investment Partnership Program Budget Code(s):32473020 780004 <br /> 473111 Vendor# (NIA if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New❑ <br /> Renewal❑ Amendment ® Effective Date 01/02/2013 Approved by Board Yes®No❑ Agenda Date: 05/05/2009 Title of <br /> Contract:Amendment to Development Agreement(Rental Assistance) <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: Xo a <br /> IT i ector <br /> (Applicable only to hardwarelsoftware purchases or related servic This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information tec olo specifications: <br /> IT Director's Signature: Date: <br /> Risk n ement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ ofessional; ❑ Property; ❑ OR No Insurance Required 53/ <br /> Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With iVbr#Q ration of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: {� <br /> Risk Manager's Signature: ICJ . Date: 2" L�- 13 <br /> 1 a3 l e, <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑NoQ'." A budget amendment is necessary <br /> before approval Yes❑NoaIf 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: Na,& v A A - Date: Z" Zf r 13 <br /> County Attorney <br /> Approval by Board ❑ (Contrac over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manager (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: <br /> County Manazer <br /> This contract has been reviewed and is approved by the County Manage Yes o❑. <br /> This contract has been reviewed and is to be submi ed for OC c s' er ion Yes❑ ^" <br /> ,11 <br /> Manager's Signature: Date: <br /> Clel the Board <br /> Approved by BOCC on the^day of ,20 Submitted for Chair signature on the_day of 120 . <br /> Clerk's Signature: Date: <br /> Revised April 2010 <br />