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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: Habitat for Humanity Party/Vendor Contact Person: Susan Levy Contact Phone:(919)932-7077 Party/Vendor <br /> Address: 88 Vilcom Center Dr.,#LI10 City Chapel Hill State:NC Zip:27514 Department:Housing/Human Rights and Community <br /> Development Amount: $146,592 Purpose: FY 2011/12 HOME Program Budget Code(s): 32473005 Vendor# (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New❑ Renewal❑ Amendment ® Effective <br /> Date 05/15/2013 Approved by Board Yes®No❑ Agenda Date:05/06/2010 Title of Contract:Development Agreement <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: <br /> T.4 <br /> IT i ector 7� <br /> (Applicable only to hardware/software purchases or related servic This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technolo� specifications: <br /> IT Director's Signature: Date: <br /> Risk M a ement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; Professional; ❑ Property; ❑ OR No Insurance Required [j. 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 /> a� .-mot �. <br /> Risk Manager's Signature: Date: <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑NoW. 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: ua�ly ^' A 'n+�j11�- t f,1 <br /> Da e._d3 <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 r [t(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: 3 <br /> County Manaeer <br /> This contract has been reviewed and is approved by the County Manager Yes No❑. <br /> This contract has been reviewed and is to be submitted for BO C consideption Yes❑No <br /> Manager's Signature: f <br /> Clerk to the Board <br /> Approved by BOCC on the_day of 20 Submitted for Chair signature on the_day of 20 <br /> Clerk's Signature: Date: <br /> Revised April 2010 <br />