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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 Home Trust Party/Vendor Contact Person: Robert Dowling Contact Phone:(919)967-1545 <br /> Party/Vendor Address:P.O.Box 30'7--City Carrboro State:NC Zip:27510 Department: Housing/Human Rights and Community <br /> Development Amount: $191,59,1' urpose: FY 2011/12/13 HOME Program Budget Code(s): 32473005 Vendor# (N/A if new <br /> vendor) Vendor is a 900e�consultant? Yes ❑No® Contract Type: (Check one)New❑ Renewal❑ Amendment ® Effective <br /> Date 05/15/2013 Approved by Board Yes®Non Agenda Date: 05/01/2012 Title of Contract: CHDO Amendment <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 S Date: �/ <br /> IT ector <br /> (Applicable only to hardware/software purchases or related servi es 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; ofessional; ❑ Property; ❑ OR No Insurance Required ❑. 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: 1 <br /> Risk Manager's Signature: NA--4- A Date: <br /> Financial Services (Jwi <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No[f?", A budget amendment is necessary <br /> before approval Yes❑NoQr 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 /> ? l <br /> Financial Services Director's Signature: C`'A1��'(�^� A All 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 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 Manager <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 sub ed for B C considerat on Yes❑No . <br /> Manager's Signature: Date: <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 />