HomeMy WebLinkAboutR 2020-195 Solid Waste - Glass Recycling Coalition grant DocuSign Envelope ID: E328EA9A-009A-4026-A499-47B1449F20D1
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Glass Recycling Coalition Party/Vendor Contact Person: Richard Hoch Contact Phone: 815-
267-4493 Party/Vendor Address: 24460 West 143rd Street City Plainfield State: IL Zip: 60544 Department:
Solid Waste Amount: Like Kind Match of Grant Purpose: Grant for recycling_project Budget Code(s): N/A
Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)
New ® Renewal ❑ Amendment ❑ Effective Date March 13, 2020 Approved by Board Yes❑ No®
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:
D"uSigneeld44byrr,
Department Director's Signature r0� WlLL1A�IS Date: 3/12/2020
Agreements for emergency services or r_ ssEBsi sa3ssoass... _j 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:
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:
Docusigned by:
Office of the Risk Management Officer aUSA 3/12/2020
L.Q��6 Date:
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
DocuSigned by-
Office of the Chief Financial Officer 0 Date:3/12/2020
704E5981ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney �6%f�, hvyiv, Date:3/12/2020
4C5F3CDDF0B94F8...
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 11/19