HomeMy WebLinkAboutR 2011-047 Housing - State of NC benchmarks 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: State of North Carolina Party/Vendor Contact Person: Martha Are Contact Phone: 919-855-4994 Party/Vendor
Address: 2001 Mail Service Center City Raleigh State:NC Zip: 27699-2001 Department: Housing/Human Rights and Community
Development Amount: $2,300 Purpose: 10 Year Plan-Benchmarks Budget Code(s): 32470605 Vendor# (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date
02/15/2011 Approved by Board Yes❑No® Agenda Date: Title of Contract:
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:
IT Director
(Applicable only to hardware/software purchases o7-related services)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 Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required E]. 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 condition d upon appropriation by the Board of Commissioners Yes❑NoX A budget amendment is necessary
before approval Yes[:] NoX. 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:
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Financial Services Director's Signature: q44-W 1"`�-� Date:
County Attorney
Approval by Board ❑ (Conti is over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by Manag (All then contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
Attorney's Signature Date: o+i
County Manager
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 BOCC co sideration Yes❑No❑.
Manager's Signature: Date:2 — ..
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Clerk a the Board
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Approved by BOCC on the day of b °. Submitted for Chair signature on,the day of , 20
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Clerk's Signature: Date:'-
Revised April 2010