HomeMy WebLinkAboutR 2013-068 Housing - NC Housing Coalition for Continum of Care Participation Agreement $0 ORANGE COUNTY-CONTRACT CONTROL SHEET
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: NC Housing Coalition Party/Vendor Contact Person: Chris Estes Contact Phone:919-827-4500 Party/Vendor
Address: 118 St.Mary's Street City Raleigh State:NC Zip:27605 Department:Housing,Human Rights and Community Development
Amount:$0 Purpose:Continuum of Care Particil2ation Agreement Budget Code(s):N/A Vendor#N/A (N/A if new vendor) Vendor
is a BOCC consultant? Yes❑No❑ Contract Type:(Check one)New 0 Renewal❑ Amendment ❑ Effective Date 07/21/2012
Approved by Board Yes❑Noo Agenda Date:N/A Title of Contract:Continuum of Care Participation Agreement
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were
bids/RFPs received Yes❑NoZ Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signaturol: C Date:
T * ector
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(Applicable only to hardware/software purchases or related sery* is contract has been reviewed d approved by the Information
S< contract
Technology Director as to technical content and information technology specifications:
IT Director's Signature: Date:
Risk Ma ement
P<7
'a
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; r ssional; ❑ Property; OR No Insurance Required Fl. Hold
Contract pending receipt of Certificate of Insurance . orpor ion 4
With , orporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
A A
Risk Manager's Signature:—ua,—, A—, Date:
FinanVcServices
This Contract is conditioned upon appropriation by the Board of
,kbqmnissioners Yes❑No❑. A budget amendment is necessary
before approval Yes❑No❑. If budget amendment is necess ,ple'hse attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Budget and Fiscal tiontrol Act:
Financial Services Director's Signature: a 0,1_,�-✓ J. Date: Z-21- 13
County Attorney
Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Manager[(Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has be vi d approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: .4 K-4 I
County Manager z"
This contract has been reviewed and is approved by the County Manager YeaffNe[:1.
This contract has been reviewed and is fo tore by thKCrair YesE]NoC;r
Manager's Signature: Date:C;7
V V WU�l
Clerk to the Board
Approved by BOCC on the—day of 0 Submitted for Chair signature on the day of 20_.
Clerk's Signature: Date:
Revised March 2012