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HomeMy WebLinkAboutWaste Management 4/17/2013 INDUSTRIAL WASTE & DISPOSAL SERVICES ` � ,=r. Exhibit A ��� `° � AGREEMENT mIPaing semerisservserws CUSTOMER INFORMATION GENERATOR INFORMATION PROFILE NUMBER: 116608WI Of different from Customer Information) City of Oshkosh City of Oshkosh Public Works Dept DISPOSAL FACILITY: Valley Trail Recycling and Disposal 215 Church Avenue Contract 13-04 10th Ave rail road ties PROFILE EXPIRATION DATE:03/26/2014 Oshkosh,WI 54903- Oshkosh,WI 54901 Contact Name: Michelle Freumund @ PO NUMBER: 13-04 10th Ave Rail Road Ties AECOM Contact Phone: - - Service Material I Ticket Description Anticipated Volume Rate!UOM 1 Minimum Information Disposal Creosote Railroad Ties 50 Railroad Ties $26.001Ton Profile Fee WAIVED Tax WITAX $13.00/Ton Fuel WAIVED Environmental WAIVED Fees below are on an as needed basis only: Digout(frozen load): $50.00/load Washout Fee: $100.00/bad Cer56cate of Banal/Destruction: $50.00/each event Containers prodded by MA: Quantity: I Size: I Quantity: I Size: -Acceptance of waste is contingent upon the completion,submittal and approval of special waste profile sheet, required analytical,Industrial Waste&Disposal Services Agreement(ISA),and Exhibit A. All loads must be Additional manifested. Confirmation will be sent to customer upon approval to ship into designated facility. Information/Special Handling: -Prices quoted herein are valid for 60 days from Tuesday,March 26,2013 unless Waste Management is hired for this Hlin project prior to the expiration of this 60 day period in which case pricing remains valid in accordance with the terms of the Service Agreement -The fuel surcharge percentage can fluctuate on a weekly basis;www.wm.com provides the current Fuel Surcharge and DOE average. The actual percentage rate applied to the total project invoice will be determined the week that the invoice is generated. •If Waste Management(or a Waste Management contracted hauler)is NOT providing the transportation services,you must ensure that the transporter is licensed and approved to haul the Special Waste or Hazardous Waste. •Please see profile approval form for special handling instructions. THE WORK CONTEMPLATED BY THIS EXHIBIT A IS TO BE DONE IN ACCORDANCE WITH THE TERMS AND CONDITIONS OF THE INDUSTRIAL SERVICES AGREEMENT OR OTHER CONTRACTUAL AGREEMENT BETWEEN THE PARTIES DATED: 08127/2008 COMPANY Waste Management f Wisconsin,Inc. CUSTOMER City of Oshkosh By: \ l Signature: ''E', t A � ' 3 Name: Ashley Roesselet Dat Name: Dat Title Technical Service Representative Title: (800)WMDisposal or(800)963-4776 ©Waste Management,Inc.(rev.2/2003) Exhibit A-INDUSTRIAL WASTE&DISPOSAL AGREEMENT Signed for and in behalf of the City of Oshkosh T ; - ' o - , Cit an.t- F;r� ncf d---nl_k/Ct■ e„LA Pamela R. Ubrig, City Clerk Itl d • n orenson, 'iAttorney 004/M- cszean___ Peggy Steelio, Director of Finance I hereby certify that the necessary provisions have been made to pay the liability which will accrue under this contract. lA