HomeMy WebLinkAboutWaste Management 2/18/2015 " � ' INDUSTRIAL WASTE � DISPOSAL SERVICES Exhibit A
WASTE MAIYAOEME11fT AGREEMENT
CUSfOMER INPORMATION GENERATOR INFORMATION
different from Customer Information PROFILE NUMBER:
City of Oshkosh
Same nisPOSn�FACiunr: Valie Trail RDF
215 Church Street IXPIRATION DATE:
Oshkosh,WI 54903
PO NUMBER:
Contact Name: Steve Gohde
Contact Phone: 920-235-0270
Service Material/Ticket Description Anticipated Volume Rate 1 UOM 1 Minimum
Information
Disposal: Petroleum Contaminated Soil for TBD $25.00 per ton—(No Tax)
Bio Remediation—2015 City of Oshkosh
Soil for Daily Cover $18.00 per ton—(No Tax)
General Waste&C&D material $25.00 per ton(Ta�cable)
Profile Fee: N/A
Transportation: N/A
Tax: WI Generator Tax $13.00 per ton
Fuel Waived
Environmental: Waived
Dig-out(frozen load): $50.0011oad Washout Fee: $100.00/load Certificate of Buri�/Destruction: a50.00leach event
ConWiners provided by WM: QU811t1h/: N/A Size: N/A QuaMity:NUA Size:NIA
-Acceptance of waste is contingent upon the completion,submittal and approval of special waste profile sheet,
required analytical,lndustrial Waste&Disposal Services Agreement(ISA),and Exhibit A. All loads must be
Additional manifested. Confirtnation will be seM to customer upon approval to ship into designated facility.
InformationlSpecial ,p�ces uoted herein are valid for 30 da s from Tuesda ,Janua 27 2015 unless Waste Mana ement is hired for this
Handling: q y y ry � 9
project prior to the expiration of this 30 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 rofile a roval form for s ecial handlin 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:
COMPANY aste Man ent of Wisconsin,Inc. 1 CUSTOMER
By: Z �Z/ZU�� By: C1T� ciCOS��S1-� C�Z-17S-,�i: f5
N e: ames Bames Date Name: Date
Tit Industrial Account Manger Title: - 71� ��+E.l�
`� (800)WMDisposal or(800)963-4776
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0 Waste Management,Inc.(rev.2/2003) Exhibit A-INDUS7RIAL WASTE&DISPOSAL AGREEMENT
♦
Signed for and in behalf of the City of Oshkosh
--'��--r� ����..
Mark�i. Rohloff, City Manager
� 4
�ti��Q� ��
Pamela R. Ubrig, City Clerk
Lare son, Cit ey
.�,`c���(�Y`r1
Trena Larson, Director of Finance
I hereby certify that the necessary provisions
have been made to pay the liability which will
accrue under this contract.
lA