HomeMy WebLinkAboutR 2014-555 Housing - EmPOWERment, Inc. for HOME Investment Partnership Program - Development Agreement $110,131 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: EmPOWERment,Inc. Party/Vendor Contact Person: Delores Bailey Contact Phone: (919)967-8779
Party/Vendor Address: 109 N. Graham St. City Chapel Hill State:NC Zip: 27516 Department:Housing/Human Rights and
Community Development Amount: $110,131 Purpose:HOME Investment Partnership Program Budget Code(s): 3248000 XXXX
Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal
❑ Amendment ❑ Effective Date 10/21/2014 Approved by Board Yes❑No® Agenda Date: 05/06/2014 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:
-+1
Department Director's Signature: Date:
IT c
(Applicable only to hardware/software purchases or related servi es)) his 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 Ma ement
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ r fessional; ❑ Property; ❑ OR No Insurance Required ❑. 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:
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[i( A budget amendment is necessary
before approval Yes❑NoIf 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�464. ,�• Date: It Ilyfly
III'(
County 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: 1 O
County Manager
This contract has been reviewed and is approved by the County Manager Yes o❑.
This contract has been reviewed and is to be submitted for BOCC consideration Yes❑No❑.
Manager's Signature: Date:
Cler c 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