DocuSign_238-2-Sarafin_Option- signedMayor’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):
4. 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, _________________________ ___ _______________
Chief Procurement Officer, __________ _____________________ _______________
Finance Director, __________________ ___ _______________
Mayor ___________________________ ___ _______________
Contract #:
DocuSign Envelope ID: C544C3A0-FC9C-4C81-9CF8-113414C3A662
Purchase of unique land, using CPA funding, to add to the Mineral Hills Greenway-Marble Brook
9/30/2022
Joan Sarafin
2/17/2022 | 5:13 PM EST
$50,798
Planning & Sustainability
Wayne Feiden, Director of Planning & Sustainability
44582
CPA 148 -Open Space
Acquisitions-
#3100931-593193-22
X
$50,798
X
2/18/2022 | 8:42 AM ESTJoyce Karpinski
Joe Cook 2/23/2022 | 9:41 AM EST
Charlene Nardi 2/23/2022 | 9:46 AM EST
Gina-Louise Sciarra 2/23/2022 | 10:51 AM EST
238-22
DocuSign Envelope ID: C544C3A0-FC9C-4C81-9CF8-113414C3A662
DocuSign Envelope ID: C544C3A0-FC9C-4C81-9CF8-113414C3A662
DocuSign Envelope ID: C544C3A0-FC9C-4C81-9CF8-113414C3A6622/17/2022 | 5:13 PM EST2/18/2022 | 8:42 AM EST2/23/2022 | 9:41 AM EST2/23/2022 | 10:51 AM EST
Certificate Of Completion
Envelope Id: C544C3A0FC9C4C819CF8113414C3A662 Status: Completed
Subject: DocuSign: Sarafin Option for Signature from Wayne Feiden, FAICP, Director of Planning & Sustainabili
Source Envelope:
Document Pages: 4 Signatures: 9 Envelope Originator:
Certificate Pages: 3 Initials: 0 Wayne Feiden
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-05:00) Eastern Time (US & Canada)
210 Main Street
Northampton, MA 01060
wfeiden@northamptonma.gov
IP Address: 50.235.91.10
Record Tracking
Status: Original
2/17/2022 4:59:36 PM
Holder: Wayne Feiden
wfeiden@northamptonma.gov
Location: DocuSign
Security Appliance Status: Connected Pool: StateLocal
Storage Appliance Status: Connected Pool: City of Northampton Location: DocuSign
Status: Original
2/17/2022 5:11:43 PM
Holder: City Signatures Processing
cpo@northamptonma.gov
Location: DocuSign
Security Appliance Status: Connected Pool: StateLocal
Storage Appliance Status: Connected Pool: City of Northampton Location: DocuSign
Signer Events Signature Timestamp
Wayne Feiden, Director of Planning & Sustainability
wfeiden@northamptonma.gov
Planning Director
Planning & Sustainability
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 50.235.91.10
Sent: 2/17/2022 5:11:43 PM
Viewed: 2/17/2022 5:13:29 PM
Signed: 2/17/2022 5:13:51 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Joyce Karpinski
jkarpinski@northamptonma.gov
City Auditor
City of Northampton
Signing Group: Auditor Group
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 50.235.91.10
Sent: 2/17/2022 5:13:53 PM
Viewed: 2/18/2022 8:41:40 AM
Signed: 2/18/2022 8:42:07 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Joe Cook
jcook@northamptonma.gov
Chief Procurement Officer
City of Northampton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 50.235.91.10
Sent: 2/18/2022 8:42:10 AM
Viewed: 2/23/2022 9:40:18 AM
Signed: 2/23/2022 9:41:09 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Charlene Nardi
cnardi@northamptonma.gov
Finance Director
City of Northampton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 50.235.91.10
Sent: 2/23/2022 9:41:11 AM
Viewed: 2/23/2022 9:45:56 AM
Signed: 2/23/2022 9:46:26 AM
Signer Events Signature Timestamp
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Gina-Louise Sciarra
g-lsciarra@northamptonma.gov
Mayor
City of Northampton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 50.235.91.10
Sent: 2/23/2022 9:46:28 AM
Viewed: 2/23/2022 10:50:57 AM
Signed: 2/23/2022 10:51:17 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Joe Cook
jcook@northamptonma.gov
Chief Procurement Officer
City of Northampton
Signing Group: CPO Group
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 50.235.91.10
Sent: 2/23/2022 10:51:20 AM
Viewed: 2/23/2022 12:50:57 PM
Signed: 2/23/2022 12:51:52 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Sarah LaValley
slavalley@northamptonma.gov
Department Assistant
City of Northampton
Security Level: Email, Account Authentication
(None)
Sent: 2/23/2022 12:51:54 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Teresa Brockriede
tbrockriede@northamptonma.gov
Grants Administrator
City of Northampton
Security Level: Email, Account Authentication
(None)
Sent: 2/23/2022 12:51:54 PM
Viewed: 2/23/2022 1:47:07 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 2/17/2022 5:11:43 PM
Certified Delivered Security Checked 2/23/2022 12:50:57 PM
Envelope Summary Events Status Timestamps
Signing Complete Security Checked 2/23/2022 12:51:52 PM
Completed Security Checked 2/23/2022 12:51:54 PM
Payment Events Status Timestamps