HomeMy WebLinkAboutR 2017-221-E SW - Clean Harbors for household hazardous waste collection and disposal DocuSign Envelope ID:813A5323-29B6-4DDD-A2B8-22B7F4A4A68C
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Clean Harbors Party/Vendor Contact Person: Gwen Hill Contact Phone: 339-788-1037
Party/Vendor Address: 208 Watlington Dr City Reidsville State: NC Zip: 27230 Department: Solid Waste Amount:
240,000 per yr, total 480,000 Purpose: Household Hazardous Waste collection and disposal Budget Code(s):
50352020630003 Vendor# 61437 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract
Type: (Check one) New ❑ Renewal ® Amendment ® Effective Date July 1, 2017 Approved by Board Yes
No Agenda Date:May 2,2017
This agreement is approved as to technical form and content:
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Department Director's Signature al,titt, Mbin, Date: 5/26/2017
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Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
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Office of the Risk Management Officer t S& rbrin,'ll b Date: 6/5/2017
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the ma �rsreci�yed by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date:
6/19/2017
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—7D4E5181 ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney ja,MGs 151nr Date: 6/19/2017
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 2/17 jcb 05117 1