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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 : Emp6WERment,Inc Party/Vendor Contact Person: Delores Bailey Contact Phone:919-967-8779 Party/Vendor <br /> AddreVdd St. City Chapel Hill State:NC Zip:27514 Department:Housing/Human Rights and Community Development <br /> Amoue:FY 2012 HOME Program Budget Code(s):32473005 Vendor# (N/A if new vendor) Vendor is a <br /> BOCC ❑No® Contract Type:(Check one)New❑ Renewal❑ Amendment ® Effective Date 05/01/13 <br /> Appro ®No❑ Agenda Date:05/01/2012 Title of Contract:D evelopment Agreement <br /> If this nt,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 Signatu e: Date: `G r <br /> Ixo1ogatspVccifications: <br /> (Applicable only to hardware/software purchases or related serontract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information tec <br /> IT Director's Signature: Date: <br /> Risk ement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ ssional; ❑ Property; ❑ OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance❑. With " orporaN of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: 3 <br /> Financial Services <br /> This Contract is conditioned hon appropriation by the Board of Commissioners Yes❑No . 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 A t: <br /> Financial Services Director's Signature: qa j.- -t, Date: 4?�13 <br /> County Attorney <br /> Approval by Board ❑ (Contra over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manage (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: �J <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Ye Na❑. <br /> This contract has been reviewed and is to be submitted for BOC con ' eration Yes❑N� f <br /> Manager's Signature: Date: " Z E �l <br /> lerk to he Board <br /> Approved by BOCC on the_day of 120 ub ed for Chair signature U y day of ,20 <br /> Clerk's Signature: Date: 5 <br /> I <br /> Revised April 2010 <br />