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DocuSign Envelope ID: E328EA9A-009A-4026-A499-47B1449F20D1 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Glass Recycling Coalition Party/Vendor Contact Person: Richard Hoch Contact Phone: 815- <br /> 267-4493 Party/Vendor Address: 24460 West 143rd Street City Plainfield State: IL Zip: 60544 Department: <br /> Solid Waste Amount: Like Kind Match of Grant Purpose: Grant for recycling_project Budget Code(s): N/A <br /> Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date March 13, 2020 Approved by Board Yes❑ No® <br /> Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> D"uSigneeld44byrr, <br /> Department Director's Signature r0� WlLL1A�IS Date: 3/12/2020 <br /> Agreements for emergency services or r_ ssEBsi sa3ssoass... _j the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> Docusigned by: <br /> Office of the Risk Management Officer aUSA 3/12/2020 <br /> L.Q��6 Date: <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by- <br /> Office of the Chief Financial Officer 0 Date:3/12/2020 <br /> 704E5981ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney �6%f�, hvyiv, Date:3/12/2020 <br /> 4C5F3CDDF0B94F8... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 11/19 <br />