Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 5/5/2025
2) Contract Type: Other
3) Renewal Contract: No
4) Department Name: Sheriff’s Office Nuisance Abatement Division
5) Department Contact: Sgt. Henry Porretto
6) Description: Contract Services for Household Hazardous Waste (HHW)
7) PEID No: 721883
8) Req No:
9) Orgkey:
10) Object Code:
11) Vendor: Clean Earth
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: Solid Waste Implementation Grant
14) Fund #: 2830-293011
15) Current Year Budgeted: $171,756.00
16) Current Year Projected: $67,311.78
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals: $67,311.78
To Be Completed by Purchasing Department
22) Contract Start Date: 9/1/2024
23) Auto Renewal Contract: No
24) Bid No: N/A
25) Contract End Date: 06/30/2025
26) Contract # Issued by Purchasing Department: 222003
NOTES: Grant awarded on line item 52 on 08/05/2024