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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.,#L110 City Chapel Hill State:NC Zip: 27514 Department:Housing/Human Rights and Community <br /> Development Amount: $144,304 Purpose:Affordable Housing Bond Program Budget Code(s): 61000 Vendor# (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective <br /> Date 09/26/13 Approved by Board Yes❑No❑ Agenda Date: 11/20/12 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: �7 <br /> IT (ector,(A pplicable only to hardware/software purchases or related servi sis ontract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technology specifications: <br /> IT Director's Signature: I Date: <br /> Risk)6/aLFement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; n P ofessional; ❑ Property; ❑ OR No Insurance Required E]. Hold <br /> Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: <br /> Financial Services <br /> This Contract is conditioned yon 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 Cont of Act: <br /> et <br /> Financial Services Director's Signature: wt" A,, Date: 14-21113 <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 Mana All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: r� <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is appr a the County Man er Yes io❑. <br /> This contract has been reviewed to b s fitted o BOC Sid tion 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 />