Orange County NC Website
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: NC Housing Coalition Party/Vendor Contact Person: Satana Deberry Contact Phone: 919-827-4500 <br /> Party/Vendor Address: 118 St.Marv's Street City Raleigh State:NC Zip:27605 Department:Housing,Human Rights and Community <br /> Development Amount:$00 Purpose: Continuum of Care Participation Agreement Budget Code(s):N/i� Vendor#N/A (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check one)New ® Renewal❑ Amendment ❑ Effective <br /> Date 07/01/2013 Approved by Board Yes❑No® Agenda Date:N/A Title of Contract: Continuum of Care Partici ap tion <br /> A reg ement <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 /> �0 <br /> Department Director's Signature: Date: <br /> LIX IT rector <br /> (Applicable only to hardware/software purchases or related serviles\)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technology specifications: <br /> IT Director's Signature: Date: <br /> Risk Niagement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; fessional; ❑ Property; OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions is shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No V�. A budget amendment is necessary <br /> before approval Yes❑Nog. 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 Ac <br /> Financial Services Director's Signature:Jawt , , - Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval b Manager (Most other contracts$1,000 and above). Departmen-:Director approval only❑ (Under <br /> $1,000). This contract has bee r v' we approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: t l� <br /> County Manaaer <br /> This contract has been reviewed and is appro d by the County Manager Yes No❑. <br /> This contract has been reviewe nd or natur y the a. 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 March 2012 <br />