HomeMy WebLinkAboutR 2013-066 Housing - Housing for New Hope for Home investment Partnership Program $50,000 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: Housing for New Hope Party/Vendor Contact Person: Terry Allebaugh Contact Phone:919-489-6282
Party/Vendor Address: 18 West Colony Place,Suite 250 City Durham State:NC Zip:27707 Department:Housing/Human Rights and
Community Development Amount:$50,000 Purpose:HOME Investment Partnership Program Budget Code(s):32473020 780004
473111 Vendor# (NIA if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New❑
Renewal❑ Amendment ® Effective Date 01/02/2013 Approved by Board Yes®No❑ Agenda Date: 05/05/2009 Title of
Contract:Amendment to Development Agreement(Rental Assistance)
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❑No® Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signatur : Date: Xo a
IT i ector
(Applicable only to hardwarelsoftware purchases or related servic This contract has been reviewed and approved by the Information
Technology Director as to technical content and information tec olo specifications:
IT Director's Signature: Date:
Risk n ement
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ ofessional; ❑ Property; ❑ OR No Insurance Required 53/
Hold
Contract pending receipt of Certificate of Insurance ❑. With iVbr#Q ration of Insurance provisions as shown,this contract is approved
by the Risk Manager: {�
Risk Manager's Signature: ICJ . Date: 2" L�- 13
1 a3 l e,
Financial Services
This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑NoQ'." A budget amendment is necessary
before approval Yes❑NoaIf 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: Na,& v A A - Date: Z" Zf r 13
County Attorney
Approval by Board ❑ (Contrac over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by Manager (All other contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
Attorney's Signature Date:
County Manazer
This contract has been reviewed and is approved by the County Manage Yes o❑.
This contract has been reviewed and is to be submi ed for OC c s' er ion Yes❑ ^"
,11
Manager's Signature: Date:
Clel the Board
Approved by BOCC on the^day of ,20 Submitted for Chair signature on the_day of 120 .
Clerk's Signature: Date:
Revised April 2010