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HomeMy WebLinkAboutR 2010-038 Housing - XDS Chrysalis properties transfer ®5,a, 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: XDS,Inc. Party/Vendor Contact Person: Thava Ma Contact Phone: 919-724-0578 Party/Vendor Address: 800 Easttowne Dr. Suite 200 City Chapel Hill State:NC Zip:27514 Department:Housing and Community Development Amount: $27,940 Purpose: CDProgram Income Budget Code(s): to be determined Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Ty*( heck one)New® Renewal❑ A dme t ❑ Effective Datt 04/09/2010 Approved by Board Yes®No❑ Agenda Date: 9 Title of Contract!If this is a Grant Agreement,pre-appliceen a proved by the Board of Commmssioners es❑No❑. If submitted for bid were bids/RFPs received Yes No Bid/RFP number 6# This contract has been reviewed and approved by the Department Director as to technical content:Department Director's Signatur Date: Z`lt9� 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 El. Hold Contract pending receipt of Certificate of Insurance E]. 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❑NoPC. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the manner required by the Local Government Bud t and Fiscal Co trol L �Q Financial Services Director's Signature: ���✓ Date: T Z 7 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 a er � All other contracts). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: Attorney's Signature County Manager This contract has been reviewed and is approved by the County Manager Y No❑. This contract has been reviewed and is to be submitted for BOCC consideration YesFXo❑. Manager's Signature: Date: Clerk to t Board Approved b CC on the day of ,20 ubmitte or C signa e day o ,20 Clerk's Signature: Date: 3 D Revised April 2010 v