HomeMy WebLinkAboutR 2013-444 Housing - NC Housing Coalition Continuum 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: Satana Deberry Contact Phone: 919-827-4500
Party/Vendor Address: 118 St.Marv's Street City Raleigh State:NC Zip:27605 Department:Housing,Human Rights and Community
Development Amount:$00 Purpose: Continuum of Care Participation Agreement Budget Code(s):N/i� Vendor#N/A (N/A if new
vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check one)New ® Renewal❑ Amendment ❑ Effective
Date 07/01/2013 Approved by Board Yes❑No® Agenda Date:N/A Title of Contract: Continuum of Care Partici ap tion
A reg ement
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:
�0
Department Director's Signature: Date:
LIX IT rector
(Applicable only to hardware/software purchases or related serviles\)This contract has been reviewed and approved by the Information
Technology Director as to technical content and information technology specifications:
IT Director's Signature: Date:
Risk Niagement
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; fessional; ❑ Property; OR No Insurance Required ❑. Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions is shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date:
Financial Services
This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No V�. A budget amendment is necessary
before approval Yes❑Nog. 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 Ac
Financial Services Director's Signature:Jawt , , - Date:
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 b Manager (Most other contracts$1,000 and above). Departmen-:Director approval only❑ (Under
$1,000). This contract has bee r v' we approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: t l�
County Manaaer
This contract has been reviewed and is appro d by the County Manager Yes No❑.
This contract has been reviewe nd or natur y the a. Yes❑No❑. / />
Manager's Signature: Date:
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 March 2012