HomeMy WebLinkAboutR 2013-093 Health - Waste Management Healthcare Solutions $1560 Disposal of Medical Waste 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: WASTE MANAGEMENT HEALTHCARE SOLUTIONS Party/Vendor Contact Person: BRIAN BUERKETT
Contact Phone: 713 265 1287 Party/Vendor Address: 1001 FANNIN City HOUSTON State:TX Zip: 77002 Department:HEALTH
Amount: $1,560 ANN-UAL Purpose:DISPOSAL OF MEDICAL WASTE Budget Code(s): 10414020-622100 Vendor#N/A (N/A if
new vendor) Vendor is a BOCC consultant? Yes❑NoN Contract Type:(Check one)New[D Renewal
❑ Amendment ❑
Effective Date 4/1/13 Approved by Board Yes❑No❑ Agenda Date: Title of Contract: CUSTOMER SERVICE
AGREEMENT WASTE MANAGEMENT
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 Signature: ki,L- Date: j 13
IT Director
Ira t has b reviewed(Applicable only to hardware e urchases or related steer contract has been reviewed and approved by the Information
only t ry
v
10 if i
Technology Director as to technical content ion technology specifications:
IT Director's Signature: Datt
e:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Require [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: Au_ Date: 3 /j
5 1 Z-71 I 3
Financial Services
This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No� A budget amendment is necessary
before approval Yes❑Nog If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Bupde and Fiscal Contr I Act:
Financial Services Director's Signatu-e. 3, /)"U, Date:
County Attorney
Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approva y Manager[(Most other contracts$1,000 and above). Department Director approval only❑(Under
$1,000). This contract:has be iewe d proved by the Attorney as to legal form and sufficiency:
Attorney's Signature tr - Date: 1:�,,
V \,
County Manage
This contract has been reviewed and is approved by the County Manager
This contract has been reviewed and is for signature by tKe Qhair YesF1NeEj---
'2
Manager's Signature: Date/-
V — I/ 7-:)
Clerk to the Board
Approved by BOCC on the_day of 20 Submitted for Chair signature on the day of 20
Clerk's Signature: Date:
Revised March 2012