Orange County NC Website
CR, 01 4-ZJ5 <br /> 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:$285,000 Purpose: HOME Investment Partnership Program Budget Code(s):32473020 789012 47313 Vendor <br /> # (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ <br /> Amendment ❑ Effective Date 04/14/14 Approved by Board Yes®No❑ Agenda Date:05/07/13 Title of Contract:Development <br /> 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 Signature: eO Date: <br /> � I ector <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 technolog specifications: <br /> IT Director's Signature: Date: <br /> Risk ement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; fessional; ❑ Property; ❑ OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance R. With hfcorp ation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: , S Date: <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary <br /> before approval Yes❑No[yIf 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 f and Fiscal Control A <br /> Services Director's Signature: °"aq^t4-' fl' Date: A 4 Ig <br /> Financial Se g <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 Ma ger.�j(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: 1 <br /> County Manager <br /> This contract has been reviewed and is ap ove y County M ger Yes No❑. <br /> This contract has been reviewed and is e s to fo C ns' ation Yes❑No❑. <br /> v <br /> Manager's Signature: Date: <br /> V z <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 />