HomeMy WebLinkAboutR 2013-161 Housing - EmPOWERment Inc for FY 2012 HOME Program $90,000 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 : Emp6WERment,Inc Party/Vendor Contact Person: Delores Bailey Contact Phone:919-967-8779 Party/Vendor
AddreVdd St. City Chapel Hill State:NC Zip:27514 Department:Housing/Human Rights and Community Development
Amoue:FY 2012 HOME Program Budget Code(s):32473005 Vendor# (N/A if new vendor) Vendor is a
BOCC ❑No® Contract Type:(Check one)New❑ Renewal❑ Amendment ® Effective Date 05/01/13
Appro ®No❑ Agenda Date:05/01/2012 Title of Contract:D evelopment Agreement
If this nt,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 Signatu e: Date: `G r
Ixo1ogatspVccifications:
(Applicable only to hardware/software purchases or related serontract has been reviewed and approved by the Information
Technology Director as to technical content and information tec
IT Director's Signature: Date:
Risk ement
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ ssional; ❑ Property; ❑ OR No Insurance Required ❑. Hold
Contract pending receipt of Certificate of Insurance❑. With " orporaN of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date: 3
Financial Services
This Contract is conditioned hon appropriation by the Board of Commissioners Yes❑No . A budget amendment is necessary
before approval Yes❑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 A t:
Financial Services Director's Signature: qa j.- -t, Date: 4?�13
County Attorney
Approval by Board ❑ (Contra over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by Manage (All other contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
Attorney's Signature Date: �J
County Manager
This contract has been reviewed and is approved by the County Manager Ye Na❑.
This contract has been reviewed and is to be submitted for BOC con ' eration Yes❑N� f
Manager's Signature: Date: " Z E �l
lerk to he Board
Approved by BOCC on the_day of 120 ub ed for Chair signature U y day of ,20
Clerk's Signature: Date: 5
I
Revised April 2010