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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: Interfaith Council for Social Service(IFC) Party/Vendor Contact Person: Allan Rosen Contact Phone: 919-929- <br /> 6380,ext.27 Party/Vendor Address: 110 West Main Street City Carrboro State:NC Zip: 27510 Department:Housing Human Rights <br /> and Community Development Amount: $500.000 Purpose: Community House Men's Transitional Housing Facility Budget Code(s): <br /> Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New <br /> Renewal❑ Amendment ❑ Effective Date May 15,2014 Approved by Board Yes[:]No® Agenda Date: Title of <br /> Contract: <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: Date: <br /> IT ctor <br /> (Applicable only to hardware/sof are purchases or related services)T ' contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technology specs ations: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Ins u JA <br /> Contract pending receipt of Certificate of Insurance El. With incorporation of Insurance provisions as shoA M s p�by the Risk Manager: t 2014 <br /> Risk Manager's Signature: s j (�"` Date: <br /> Financial Services By <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No� A budget amendment is necessary <br /> before approval Yes❑NoaIf 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 /> Financial Services Director's Signature: l A � Date: 5 Z'r I y <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). A r 1 by Manager((Most other contracts$1,000 and above). Department Director approval only E] (Under <br /> pp <br /> $1,000). This contract has e n revi e d approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: JA14- <br /> Count Manager <br /> This contract has been reviewed and is approv y the.County Manager Yes o❑. <br /> This contract has been reviewed s f si a re the C r Yes No❑. <br /> d <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 />