HomeMy WebLinkAboutR 2013-323 Housing - Habitat for Humanity for 2011-2012 HOME Program $146,592 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: Habitat for Humanity Party/Vendor Contact Person: Susan Levy Contact Phone:(919)932-7077 Party/Vendor
Address: 88 Vilcom Center Dr.,#LI10 City Chapel Hill State:NC Zip:27514 Department:Housing/Human Rights and Community
Development Amount: $146,592 Purpose: FY 2011/12 HOME Program Budget Code(s): 32473005 Vendor# (N/A if new
vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New❑ Renewal❑ Amendment ® Effective
Date 05/15/2013 Approved by Board Yes®No❑ Agenda Date:05/06/2010 Title of Contract:Development 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❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signatur Date:
T.4
IT i ector 7�
(Applicable only to hardware/software purchases or related servic This contract has been reviewed and approved by the Information
Technology Director as to technical content and information technolo� specifications:
IT Director's Signature: Date:
Risk M a ement
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; Professional; ❑ Property; ❑ OR No Insurance Required [j. Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
a� .-mot �.
Risk Manager's Signature: Date:
Financial Services
This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑NoW. 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 Act:
Financial Services Director's Signature: ua�ly ^' A 'n+�j11�- t f,1
Da e._d3
County Attorney
Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by Man r [t(All other contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
Attorney's Signature Date: 3
County Manaeer
This contract has been reviewed and is approved by the County Manager Yes No❑.
This contract has been reviewed and is to be submitted for BO C consideption Yes❑No
Manager's Signature: f
Clerk to the Board
Approved by BOCC on the_day of 20 Submitted for Chair signature on the_day of 20
Clerk's Signature: Date:
Revised April 2010