HomeMy WebLinkAbout2012-131 S Solid Waste - Clean Harbors Environmental Services $204,000 giolg_ 3 / •
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ORANGE COUNT CONTROL SHEET �
Routing Order: (l)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: Clean Harbors Environmental Services Party/Vendor Contact Person: Gwendolyn T. Hill Contact Phone:
336'342'6106 Party/Vendor Address:208 Watlington Industrial Drive City Reidsville State:NC Zip:27320 Department: Solid Waste
Management Amount: $204,000 Purpose: Household Hazardous Waste Collection, Processing and disposal Budget Code(s): 50352020
Vendor# /A if new vendor) Vendor is a BOCC consultant? Yes 0 No C Contract New uc�T�pc� (Chcukooc)Nc0B Renewal i. �
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0 Amendment Fl Effective Date July l`20l2 Approved by Board l/emElNn0 Agenda Date: May 15,2012 Title of Contract:
HHW Collection
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yeo0No0. If submitted for bid were
6ida/RFPo received Ycv0Y4o0 Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
��«paxtmment|�imc�nr`wSignature: ._ v� " �/ ^_9 Date: ^�-- -�
FIT Director
(Applicable only to purchases o related services)This contract has been reviewed and approved by the Information
Technology Director uoto technical content and information technology opcoifioatiuno:
IT Director's Signature: X.) Date:
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�m|u� the �Umvi� co�m�o: ErGL; ; � WC; 0pm�soi ? � � �� �� 0. Hold
Contract pending receipt of Certificate of Insurance . With incorporation of Insurance provisions as shown, this contract m
by the Risk Manager: ge-ettimEt 4-id rtuej".4 -''--^
Risk Manager's Signature: Date: 5.' 36 ' I Z^
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Financial Services
This Contract is condition appropriation by th Board of C i ion A budget amendment is necessary
before approval Yes0 No . If budget amendment is sary,please attac to this form. This instrument has been pre-audited in the
manner required by the Local Government Bud and Fiscal Contrn|Act:
D 7(5� jtiz'Finuociu]Sorviuem]�irectnr"nSiguuourw: Dute: �
County Attorney
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Approval by Board 21 (Contracts $90,000.00 or more goods or services, $250,008.00 or more for construction, or any BOCC
consultant contract). Approval by Manager J (Most other contracts$1,000 and above). Department Director approval only D (Under
$1,800). This contract wed and approved hytbo&uorocyuo»nloga|8/nnundoufficiency:
Attorney's Signature ���-- --' Date: ‘77/471----.
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ConntpM0am
This contract has been reviewed and ix approved by the County Manager Y NoLJ.
This contract has been reviewed and is for signature by the C'uir / ` Fl o .
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Manager's Signature: Date: u/ 4/ /
Clerk to the Board
Approved by BOCC on the day of ,20 . Sub 'fled o r Chair signature on the day m f ,20 .
Clerk's Signature: /7. Date: _
Revised March 2012