Orange County NC Website
ORANGE COUNTY-CONTRACT CONTROL SHEET <br /> Routing Order: (1)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,Inc. Party/Vendor Contact Person: Ron Meeks Contact Phone: 336-207- <br /> 4331 Party/Vendor Address: 208 Watlington Indutrial Dr City Reidsville State:NC Zip:27320-8147 Department: Solid Waste <br /> Amount: $1,900/month Purpose:Expenditure increase to extend hours of HHW attendant at Walnut Grove Convenience Center due to <br /> expanded hours at WGCC Budget Code(s): 50352020 630003 Vendor#61437 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑No❑ Contract Type:(Check one)New❑ Renewal❑ Amendment ® Effective Date September 5,2013 Approved by <br /> Board Yes®No❑ Agenda Date: 9/5/2013 Title of Contract: <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes[]No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: y Date: O <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technology specifications: <br /> IT Director's Signature: 41,14' Date: <br /> Risk Manaizement <br /> Include the following coverages: KrCGL; Er"Auto, VpCL;-❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance �ifh�hcorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: llDate: / /3 <br /> Financial Services <br /> This Contract is conditioned tjpon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary <br /> before approval Yes❑NoV. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the <br /> manner required by the Local Government Budget and Fiscal Control c : <br /> F <br /> A--- <br /> inancial Services Director's Signature: (Yaltlll� Date: CSI J� <br /> County Attorney <br /> Approval by Board 2r,(-Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager❑ (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been r vie d an ved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature %_.___.._____._____ Date: <br /> County Manager <br /> This contract has been reviewed an /ap rove y th e County Manager Yeso No❑. <br /> This contract has been reviewe d sig e C a' Yes No❑. <br /> Manager's Signature: Date: if <br /> Clerk to the Board <br /> Approved by BOCC on the—day of ,20 . Submitted for Chair signature on the_day of ,20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />