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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: EmPOWERment,Inc. Party/Vendor Contact Person: Delores Bailey Contact Phone: (919)967-8779 <br /> Party/Vendor Address: 109 N. Graham St. City Chapel Hill State:NC Zip: 27516 Department:Housing/Human Rights and <br /> Community Development Amount: $110,131 Purpose:HOME Investment Partnership Program Budget Code(s): 3248000 XXXX <br /> Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal <br /> ❑ Amendment ❑ Effective Date 10/21/2014 Approved by Board Yes❑No® Agenda Date: 05/06/2014 Title of Contract: <br /> Development 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 /> -+1 <br /> Department Director's Signature: Date: <br /> IT c <br /> (Applicable only to hardware/software purchases or related servi es)) 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 Ma ement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ r fessional; ❑ 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[i( A budget amendment is necessary <br /> before approval Yes❑NoIf 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:_Ua�464. ,�• Date: It Ilyfly <br /> III'( <br /> County 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: 1 O <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: <br /> Cler c 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 />