Vendor Contract Cover Sheet-DS.docMayor’s/CP docs/Procedures/VENDOR.COVER SHEET.UPDATED.6-02 cp
City of Northampton
Vendor Contract Cover Sheet
(To Accompany All City Contracts to City Auditor, Purchasing and Mayor’s Office)
1. Department and/or Division Name:
2. Vendor Name:
3. Munis Vendor I.D.#:____________ Department Contract # (if any):
5. Source and Amount of Funds: Please Fill in Below
Source: (Please check
all that apply)
Account
Name:
Account
Number:
Amount: Total Per
Source
Budget:
Total of Contract
5. Period of Contract Coverage (If Applicable)
6. Brief Description of Goods and/or Services being provided (e.g., Is this a part of a larger project,
stand alone, or is it an amendment to a contract?):
7. Does the vendor have a Northampton Office: ____ Yes _ No
(if local) Taxes owed: ____ Yes ____ No
8. Please list time and dates that contracts were delivered:
Signature Date
Department Head, _____________
Auditor, Joyce Karpinski
Chief Procurement Officer, Joe Cook _____________________ _____________________
Finance Director, Susan Wright
Mayor David J. Narkewicz:
Contract #:
DocuSign Envelope ID: D9CB8A36-9673-450E-945F-3AC6377082DB
NO COST CONTRACT CHANGE to two existing contracts funding affordable housing
to change the requirements for the affordable housing restriction
X
10/19/2020 | 5:02 PM EDT
NO COST contract change
Wayne Feiden
12/31/2020
Planning & Sustainability
TCB
10/20/2020 | 10:46 AM EDT
10/20/2020 | 10:55 AM EDT
10/20/2020 | 11:03 AM EDT
10/20/2020 | 11:35 AM EDT
35-21-1 &
225-20-1