Orange County NC Website
ORANGE COUNTY—CONTRACT CONTROL SHEET c;r�;' <br /> Routing Order: (1)Department, (2)IT, (3)Risk Management, (4)Financial Services, ( 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: Housing for New Hope,Inc. Party/Vendor Contact Person: Terry All'ebaugh Contact Phone: (919)489-6282 <br /> Party/Vendor Address: 18 West Cp;ony Place, Suite 250 City Durham State:NC Zip: 27705 Department: Social Services Amount: <br /> 482,933 Purpose: Budget Code(s): Vendor#. (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No[] <br /> Contract Type: (Check one)New® Renewal ❑ Amendment'❑-Effective Date 10/15/2009 Approved by Board Yes®No❑ <br /> Agenda Date: Title of Contract: Homelessness Prevention and Rapid`Housing Program <br /> If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes—No—. If submitted for bid <br /> were bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director <br /> as to technical content: <br /> Department Director's Signature: Date: <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This 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 Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance El. 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 upon appropriation by the Board of Commissioners Yes❑NoFul. 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: 4/,Uvw /✓• /Y+14— <br /> Date. 4 <br /> l <br /> County Attorney <br /> Approval by Board"21 (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager ❑ (All contracts <br /> $25,000.00 or less with the e ce tion OCC consultants). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date: ZS )d <br /> _County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes[:]No❑. <br /> This contract has been reviewed and is to be submitted for BOCC consideration Yes❑No❑. <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Submitted for Chair signature: <br /> Clerk's Signature: Date: <br /> Revised December 2009 <br />