HomeMy WebLinkAboutR 2014-205 Housing - Habitat for Humanity for HOME Investment Partnership Program CR, 01 4-ZJ5
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:$285,000 Purpose: HOME Investment Partnership Program Budget Code(s):32473020 789012 47313 Vendor
# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑
Amendment ❑ Effective Date 04/14/14 Approved by Board Yes®No❑ Agenda Date:05/07/13 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 Signature: eO Date:
� I ector
(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 technolog specifications:
IT Director's Signature: Date:
Risk ement
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; fessional; ❑ Property; ❑ OR No Insurance Required ❑. Hold
Contract pending receipt of Certificate of Insurance R. With hfcorp ation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: , S Date:
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary
before approval Yes❑No[yIf budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Budget f and Fiscal Control A
Services Director's Signature: °"aq^t4-' fl' Date: A 4 Ig
Financial Se g
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 Ma ger.�j(All other contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
Attorney's Signature Date: 1
County Manager
This contract has been reviewed and is ap ove y County M ger Yes No❑.
This contract has been reviewed and is e s to fo C ns' ation Yes❑No❑.
v
Manager's Signature: Date:
V z
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