HomeMy WebLinkAboutR Housing - Community Home Trust HOME prrogram activity 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: Community Home Trust. Party/Vendor Contact Person: Robert Dowling. Contact Phone: (919) 967-1545.
Party/Vendor Address: P.O. Box 307. City Carrboro. State: NC Zip: 27510 Department: Housing/Community Development
Amount: $100,000 Purpose: HOME Program Activity Budget Code(s): Vendor# (N/A if new vendor) Vendor is a
BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date
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 Signat e: Date:
IT Director
(Applicable only to hardware/software purchases or 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 ❑. 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 upon appropriation by the Board of Commissioners 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 Act:
f^
Financial Services Director's Signature: Date:
County Attorney
Approval by Board ❑ (Contracts over $25,000. 0 or any BOCC consultant contract). Approval by Manager El (All contracts
$25,000.00 or less with the exc pt n of B C nsultants). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
Attorney's Signature Date: t 2.3[4�5
County Manager
This contract has been reviewed and is approved by the County Manager Ye No❑.
This contract has been reviewed and is to be submitted for BOCC consideration Yes❑No❑.
Manager's Signature: 71,0" Date: Z 3
Clerk to the Board
Approved by Board Yes -1 nda Date:
Clerk's Signature: Date: �l/_,�7