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giolg_ 3 / • <br /> � <br /> ~ <br /> " � <br /> ORANGE COUNT CONTROL SHEET � <br /> Routing Order: (l)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk <br /> This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager <br /> determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for <br /> BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should <br /> be completed through the legal review process prior to being routed for signature. <br /> Department <br /> Party/Vendor Name: Clean Harbors Environmental Services Party/Vendor Contact Person: Gwendolyn T. Hill Contact Phone: <br /> 336'342'6106 Party/Vendor Address:208 Watlington Industrial Drive City Reidsville State:NC Zip:27320 Department: Solid Waste <br /> Management Amount: $204,000 Purpose: Household Hazardous Waste Collection, Processing and disposal Budget Code(s): 50352020 <br /> Vendor# /A if new vendor) Vendor is a BOCC consultant? Yes 0 No C Contract New uc�T�pc� (Chcukooc)Nc0B Renewal i. � <br /> � C3 <br /> 0 Amendment Fl Effective Date July l`20l2 Approved by Board l/emElNn0 Agenda Date: May 15,2012 Title of Contract: <br /> HHW Collection <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yeo0No0. If submitted for bid were <br /> 6ida/RFPo received Ycv0Y4o0 Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> ��«paxtmment|�imc�nr`wSignature: ._ v� " �/ ^_9 Date: ^�-- -� <br /> FIT Director <br /> (Applicable only to purchases o related services)This contract has been reviewed and approved by the Information <br /> Technology Director uoto technical content and information technology opcoifioatiuno: <br /> IT Director's Signature: X.) Date: <br /> eeirg^�m��W . . _� <br /> �m|u� the �Umvi� co�m�o: ErGL; ; � WC; 0pm�soi ? � � �� �� 0. Hold <br /> Contract pending receipt of Certificate of Insurance . With incorporation of Insurance provisions as shown, this contract m <br /> by the Risk Manager: ge-ettimEt 4-id rtuej".4 -''--^ <br /> Risk Manager's Signature: Date: 5.' 36 ' I Z^ <br /> 12•,/ d 5b-ellix 3 ( � <br /> Financial Services <br /> This Contract is condition appropriation by th Board of C i ion A budget amendment is necessary <br /> before approval Yes0 No . If budget amendment is sary,please attac to this form. This instrument has been pre-audited in the <br /> manner required by the Local Government Bud and Fiscal Contrn|Act: <br /> D 7(5� jtiz'Finuociu]Sorviuem]�irectnr"nSiguuourw: Dute: � <br /> County Attorney <br /> ' <br /> Approval by Board 21 (Contracts $90,000.00 or more goods or services, $250,008.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager J (Most other contracts$1,000 and above). Department Director approval only D (Under <br /> $1,800). This contract wed and approved hytbo&uorocyuo»nloga|8/nnundoufficiency: <br /> Attorney's Signature ���-- --' Date: ‘77/471----. <br /> ' /^r-~`. <br /> ConntpM0am <br /> This contract has been reviewed and ix approved by the County Manager Y NoLJ. <br /> This contract has been reviewed and is for signature by the C'uir / ` Fl o . <br /> 11 <br /> � � � p cx~^/ <br /> 7~~�~ <br /> Manager's Signature: Date: u/ 4/ / <br /> Clerk to the Board <br /> Approved by BOCC on the day of ,20 . Sub 'fled o r Chair signature on the day m f ,20 . <br /> Clerk's Signature: /7. Date: _ <br /> Revised March 2012 <br />