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ORANGE COUNTY-CONTRACT CONTROL SHEET /a( <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: Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: City <br /> State: Zip: Department: Housing and Community Development Amount: Purpose: Single Family Rehabilitation <br /> Program Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: <br /> (Check one)New ❑ Renewal ® Amendment ❑ Effective Date Approved by Board Yes®No❑ Agenda Date: <br /> Title of Contract:Modification Agreement&Assignment of Note Deed of Trust <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 /> Department Director's Signatu Date: <br /> IT Director <br /> (Applicable only to hardware/software purchases or relate servic )This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information ec ology specifications: <br /> IT Director's Signature: Date: <br /> �Usk Ma ement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ W El//Professional; ❑ Property; ❑ OR No Insurance Required El. Hold <br /> Contract pending receipt of Certificate of Insurance El. Wit corporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: <br /> 'nancial ervices <br /> This Contract is conditioned upon appropriation by the Boar �0_ �C_ mmissioners Yes❑No❑. A budget amendment is necessary <br /> before approval Yes❑ No❑. If budget amendment is necessa lease attach to this form. This instrument has been pre-audited in the <br /> manner required by the Local Government Budget and Fiscal ntr Act: <br /> Financial Services Director's Signature: Date: <br /> County Attorney <br /> Approval by Board X(Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Man er ❑ 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❑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 /> Approved by BOCC on the ,20 Submitted for Chair signature on the 3yday f ,2 0 <br /> Clerk's Signature: Date: <br /> Revised April 2010 <br />