HomeMy WebLinkAboutR 2019-129 Solid Waste - Clean Harbors emergency clean up DocuSign Envelope ID:OB6A4D70-3138-422C-98BF-EA253C4BCA84
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Clean Harbors Environmental Services,Inc. Party/Vendor Contact Person: Joshua Hill Contact
Phone: 336.289.8289 Party/Vendor Address: 6180-82 Old Mendenhall Road City Archdale State: NC Zip: 27263
Department: Solid Waste Amount: 7 070 Purpose: Cleanup of Fire Extimniishin,g Agent Budget Code(s):
50353020-571000 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? YcK] M Contract
Type: (Check one)New M Renewal[:] Amendment ❑Effective Date Approved by Board Yes Nb M
Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work on
this project has not been initiated prior to execution of the agreement:
DocuSignedby:RWA.wtS 2/27/2019
Department Director's Signature Date:
Agreements for emergency services or repair are not subject to the above affirmation.If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that
was addressed:Fire Suppression System activated at the Household Hazardous Waste Facility at the Eubanks Road
Waste and Recycling Center on Friday February 22,2019 releasing 90 pounds of Chemical Agent.Household
Hazardous Waste Facility had to remain closed until clean up of chemical.
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 MM498
M' d''al1ri1ds,specifications,and requirements:
Office of the Risk Management Officer rv�.c& Date:2/27/2019
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
DocuSigned y:
Office of the Chief Financial Officer�— 0.,Q of6 Date: 2/28/2019
�—7 D4 E 5181 ACC 1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney Ql yu, 'urit, T�S(b Date: 2/28/2019
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 12/18
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