Contract Cover Page.pdfMayor’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: 5840F1F2-49F2-4AFB-88B1-81315A907624
2304175 530000
0.00
X
CT River channel marker installation, maintenance and removal
18,000
0.00
18,000
0.00
0.00
0.00
wetland fees
X
Pioneer Valley Marine Services
Office of Planning & Sustainability
18,000
0.000.00
0.00
9650
December 31, 2024
4/15/2024 | 9:49 AM EDTCarolyn Misch
Kala Fisher 4/16/2024 | 8:09 AM EDT
William Coffey 4/22/2024 | 4:12 PM EDT
4/22/2024 | 5:04 PM EDTCharlene Nardi
Gina-Louise Sciarra 4/22/2024 | 5:46 PM EDT
259-24