Orange County NC Website
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 of Orange County,NC Party/Vendor Contact Person: Susan Levy Contact Phone: 919-932- <br /> 7077 Party/Vendor Address: 1829 E. Franklin St.#1200B City Chapel Hill State:NC Zip: 27514 Department: Outside Agency <br /> Amount: $10,000 Purpose: Budget Code(s): 10495050 710023 Vendor#800020 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑No® Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date July 1,2010 Approved <br /> by Board Yes®No❑ Agenda Date: June 15,2010 Title of Contract: 2010-11 Outside Agency Performance Agreement <br /> If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes❑NOD. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> r— <br /> Department Director's Signature: t7j� ate: —1 <br /> IT Director <br /> (Applicable only to hardware/software p cases or related services)This contract has een 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: RCGL; [a-Auto; C3-WC; R] Professional; ❑ Property; ❑ OR No Insurance Required El. 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: cc ?-O Ito <br /> K261d 01-06 <br /> Financial Services <br /> This Contract is condition d upon appropriation by the Board of Commissioners Yes❑Nom. 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: aa4Lz, A 4vv-, Date: <br /> County Attorney <br /> Approval by Board 4 (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manager (Al other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date: t_ L010 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yee OF-]. <br /> This contract has been reviewed and is to be submitted for BOCC consideration Yes 60. <br /> Manager's Signature: Date: C-, 2_-S11� <br /> C erk to the Board ''`` <br /> Approved by BOCC on the day of Submitted for Chair signature on the 3Uday of ,20 <br /> Clerk's Signature: Date: <br /> 1Y <br /> Revised April 2010 <br />