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X014-55q <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: $144,304 Purpose:Affordable Housing Bond Program Budget Code(s): 61370035 888006 30003 Vendor# <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New❑ Renewal❑ <br /> Amendment ® Effective Date 10/22/2014 Approved by Board Yes❑No® Agenda Date: Title of Contract:Development <br /> Agreement Amendment <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: Iq <br /> Department Director's Signature: Alf I Date: <br /> IL <br /> IT <br /> (Applicable only to hardware/sof are purchases or related servi s his 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 MVaLFement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Pr essional; ❑ Property; ❑ OR No Insurance Required ❑. 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 /> 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 . 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 Act: <br /> Financial Services Director's Signature: "� w Date: hat <br /> u� 7 <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 Manag (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: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes o❑. <br /> This contract has been reviewed and is to be submitted for BOCC consideration Yes❑No❑. <br /> Manager's Signature: Date: ` `�l r <br /> Cler o 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 />