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2018-267-E Solid Waste - Clean Harbors Amendment
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2018-267-E Solid Waste - Clean Harbors Amendment
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Last modified
3/7/2019 3:46:00 PM
Creation date
7/6/2018 11:53:59 AM
Metadata
Fields
Template:
Contract
Date
6/30/2018
Contract Starting Date
5/15/2012
Contract Document Type
Contract Amendment
Amount
$287,000.00
Document Relationships
2012-131 Solid Waste - Clean Harbors Environmental Services Inc
(Attachment)
Path:
\Board of County Commissioners\Contracts and Agreements\General Contracts and Agreements\2010's\2012
2013-399 SW - Clean Harbors Environmental Services Inc for HHW attendant at Walnut Grove Convenience Center $1,900
(Attachment)
Path:
\Board of County Commissioners\Contracts and Agreements\General Contracts and Agreements\2010's\2013
2017-221-E SW - Clean Harbors for household hazardous waste collection and disposal
(Attachment)
Path:
\Board of County Commissioners\Contracts and Agreements\General Contracts and Agreements\2010's\2017
2017-221-E SW - Clean Harbors for household hazardous waste collection and disposal
(Message)
Path:
\Board of County Commissioners\Contracts and Agreements\General Contracts and Agreements\2010's\2017
R 2018-267 Solid Waste - Clean Harbors Amendment
(Message)
Path:
\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2018
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DocuSign Envelope ID: 88A54057 -CC31- 4328 - 9012- 2B021842D3E4 <br />EXECUTION OF PROPOSAL <br />PROJECT NAME: <br />HOUSEHOLD HAZARDO€JS WASTE COLLECTIONPROPOSAL REQUEST NO. 236 <br />THIS PAGE MUST BE FULLY EXECUTED AND SIGNED FOR THE PROPOSAL TO BE CONSIDERED. <br />The person executing the proposal, on behalf of the vendor, being first duly sworn, deposes and says that: <br />(1) He is fully informed regarding "the preparation and contents of the attached Proposal and of all <br />pertinent circumstances regarding such Proposal; <br />(2) Neither he, nor any official, agent or employee of the vendor has entered Into any agreement, <br />participated In any collusion, or otherwise taken any action which Is in restraint of free competition in <br />connection with this proposal; and <br />SIGNATURE OF PROPOSAL <br />Clears Harbors Environmental Services .Inc <br />(Print full name of corporation) <br />208 Watlington Industrial Drive, Reidsville, NC 27320 <br />,,? (A�dress - County- State - Zip Code) <br />Attest <br />) David. T. Musselman. <br />By: <br />Pres-ident/Vi f PresfAssist nt Vice President) <br />Printed: Joseph L. McNally, <br />. •.'it <br />i.�`�1ar.ri t�' <br />Title. <br />CORPORATE SEAL: <br />Federal ID. or Social Security Number 04- 269 -8999 <br />f.t; <br />NOTE - AFFIDAVIT MUST BE NOTARIZED <br />Subscribed and sworn to- before me <br />This 9th ay f ,2012. <br />DAVID T. MUSSELMAN <br />W Notary Public <br />COMPA 1VWEALTH OFMASSACHUSHTS <br />My Commission Expires <br />September 18, 2017 <br />Title <br />My Commission Expires <br />Page 17 <br />HHW RFP # 5183 <br />
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