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4�1 0 <br /> 90\'_09-13 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:Assignment,Assumption and Consent to <br /> Transfer Real Property <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: �Q <br /> Department Director's Signatur : Date: L5 <br /> IT Di ctor <br /> (Applicable only to hardware/software purchases or related servic )Vis 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 ement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ r ssional; ❑ Property; ❑ OR No Insurance Required F. 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 /> Risk Manager's Signature: Date: <br /> � 3 <br /> Finan ' Services <br /> This Contract is conditioned upon appropriation by the Board of0hqmissioners 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 t: <br /> Financial Services Director's Signature: Date: 2 j is— <br /> County <br /> ►z1.S <br /> Attorney <br /> Approval by Board ❑ (Contract 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: b <br /> County Manager / <br /> This contract has been reviewed and is appr ve y the County ager Ye No❑. <br /> This contract has been reviewed to b itte r B C con eration 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 120 <br /> Clerk's Signature: Date: <br /> Revised April 2010 <br />