R 2013-194 Solid Waste - Mattress Go Round LLC for Mattress & Box Springs Recycling $ 90,000

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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 PartyNendor Name: Mattress-do-Rbund'I LLC PartyNendor Contact Person: Robert Savino Contact Phone: 336-676-4646 PartyNendor Address: 1, ' 1-A Y r )ville Street City Greensboro State:NC Zip: 27405 Department-. Solid Waste Management Amount:Not to Exceed$90-00-01, wpose:Mattress and Box Springs Recycling Budget Code(s): 50352020-630003 Vendor#61811 (N/A if new vendor)"Exceed$90,000.; a BOCC consultant? Yes❑NoN Contract Type:(Check one)New[D Renewal❑ Amendment ❑ Effective Date July 1,2013 Approved by Board Yes❑NoZ Agenda Date: Title of Contract: If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑Non. If submitted for bid were bids/RFPs received Yes❑Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to technical content: Department Director's Signature: Date: 2 IT Director (Applicable only to hardware/software purchases o/related services)This contract has been reviewed and approved by the Information Technology Director as to technical content and information technology specifications: IT Director's Signature: A Date: Risk Management Include the following coverages: dcGL; El"Auto; [9 WC; ❑ Professional; [Property; OR No Insurance Require ❑. Hold Contract pending receipt of Certificate of Insurance n. With incorporation of Insurance provisions as shown,this contract is approved by the Risk Manager: Risk Manager's Signature: Date: ZS Financial Services This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No[�. A budget amendment is necessary before approval Yes❑No[M. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control t: Financial Services Director's Signature: 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). Approval by ManagerbrIallm-ost other contracts$1,000 and above). Department Director approval only❑ (Under $1,000). This contract has bee reviewed ved by the Attorney as to legal form and sufficiency: ld-"7 ` 7 - z-_27- 3 Attorney's Signature County Manage Date: This contract has been reviewed and is approved by the County M Aager Yes❑yNo❑. 'e oun This contract has been reviewed and is for signaturelxy the Chai csEjNo❑._ Manager's Signature: Date: 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