HomeMy WebLinkAboutR 2010-106 Housing ORANGE COUNTY-CONTRACT CONTROL SHEET /a(
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: Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: City
State: Zip: Department: Housing and Community Development Amount: Purpose: Single Family Rehabilitation
Program 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 Approved by Board Yes®No❑ Agenda Date:
Title of Contract:Modification Agreement&Assignment of Note Deed of Trust
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 Signatu Date:
IT Director
(Applicable only to hardware/software purchases or relate servic )This contract has been reviewed and approved by the Information
Technology Director as to technical content and information ec ology specifications:
IT Director's Signature: Date:
�Usk Ma ement
Include the following coverages: ❑ CGL; ❑ Auto; ❑ W El//Professional; ❑ Property; ❑ OR No Insurance Required El. Hold
Contract pending receipt of Certificate of Insurance El. Wit corporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date:
'nancial ervices
This Contract is conditioned upon appropriation by the Boar �0_ �C_ mmissioners Yes❑No❑. A budget amendment is necessary
before approval Yes❑ No❑. If budget amendment is necessa lease attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Budget and Fiscal ntr Act:
Financial Services Director's Signature: Date:
County Attorney
Approval by Board X(Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by Man er ❑ All other contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
Attorney's Signature Date:
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 consideration Yes❑No❑.
Manager's Signature: Date:
Clerk to the Board //''
Approved by BOCC on the ,20 Submitted for Chair signature on the 3yday f ,2 0
Clerk's Signature: Date:
Revised April 2010