R 2010-011 Housing - Habitat for Humanity of OC

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ORANGE COUNTY-CONTRACT CONTROL SHEET 6't l Routing Order: (1)Department, (2)IT, (3)Risk Management, (4)Financial Services, (5)Attorney, (6)Manager, (7)Clerk This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for BOCC approval must be submitted through, and complete,the routing process prior to agenda review. Contracts for legal review should be completed through the legal review process prior to being routed for signature. Department Party/Vendor Name: Habitat for Humanity of Orange County, Inc. Party/Vendor Contact Person: Susan Levy. Contact Phone: (919) 932-7077. Party/Vendor Address: 1829 E. Franklin St., Suite 1200B. City Chapel Hill, State: NC Zip: 27516 Department: Housing/Community Development Amount: $60,000 Purpose: HOME Program Activity Budget Code(s): 32473020 789012 47309 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 01/08/2010. If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes No If submitted forbid were bids/RFPs received Yes❑ No❑. Bid/RFP number This contract has been reviewed and approved by the Department Director as to technical content: Department Director's Signatur Date: IT Director (Applicable only to hardware/softivare purchases o7°related services)This contract has been reviewed and approved by the Information Technology Director as to technical content and information technology specifications: IT Director's Signature: Date: Risk Management Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required El. Hold Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown, this contract is approved by the Risk Manager: Risk Manager's Signature: Date: Financial Services This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑NoEo. A budget amendment is necessary before approval YesM No❑. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Financial Services Director's Signature: Ctktulw I Atc, Date: C11 201D County Attorney Approval by Board ❑ (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager (All contracts $25,000.00 or less with the exc tion of OCC consultants). This contract has been reviewed and approved by the Att rney as to legal form and sufficiency: Attorney's Signature Date: t County Manager This contract has been reviewed and is approved by the County Manager YeZNo❑. This contract has been reviewed and is to be submitt ed for CC consideration Yes❑No❑. Manager's Signature: Date: x p Clerk to the Board Approved by Board Yes❑No❑ �A e Date: Cleric's Signature: Date: