HomeMy WebLinkAboutR 2013-490 Housing - Habitat for Humanity Affordable Housing Bond Program $144,304 4�1 0
90\'_09-13 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.,#L110 City Chapel Hill State:NC Zip:27514 Department:Housing/Human Rights and Community
Development Amount: $144,304 Purpose: Affordable Housing Bond Program Budget Code(s): 61000 Vendor# (N/A if new
vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective
Date 09/26/13 Approved by Board Yes®No❑ Agenda Date: 11/20/12 Title of Contract:Assignment,Assumption and Consent to
Transfer Real Property
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: �Q
Department Director's Signatur : Date: L5
IT Di ctor
(Applicable only to hardware/software purchases or related servic )Vis 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 ement
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ r ssional; ❑ Property; ❑ OR No Insurance Required F. Hold
Contract pending receipt of Certificate of Insurance❑. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date:
� 3
Finan ' Services
This Contract is conditioned upon appropriation by the Board of0hqmissioners 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 t:
Financial Services Director's Signature: Date: 2 j is—
County
►z1.S
Attorney
Approval by Board ❑ (Contract 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: b
County Manager /
This contract has been reviewed and is appr ve y the County ager Ye No❑.
This contract has been reviewed to b itte r B C con eration 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 120
Clerk's Signature: Date:
Revised April 2010