CONTRACT amendment 224-20-1 FINAL-CDBG ramps 6.26.20Mayor’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: 57339984-3B45-4168-95D0-D1D4174107F2
$52,462.72
12/31/2020
6/23/2020 | 1:17 PM EDT
CDBG
Planning & Sustainability
2103175
578102 COVID
Marion
Excavating
Wayne Feiden
224-20-1
X
Amendment contract 224-20 to add
additional curb cuts- the final
alternative that was included in the
original bid
$52,462.72
Wayne Feiden
$52,462.72
X
6/23/2020 | 2:22 PM EDT
6/24/2020 | 3:03 PM EDT
6/25/2020 | 3:18 PM EDT
6/26/2020 | 2:14 AM EDT
224-20-1
DocuSign Envelope ID: 57339984-3B45-4168-95D0-D1D4174107F2
6/17/20749 New Ludlow Road South Hadley, MA 01075DocuSign Envelope ID: 57339984-3B45-4168-95D0-D1D4174107F26/24/2020 | 3:03 PM EDT6/24/2020 | 3:49 PM EDT6/25/2020 | 8:52 AM EDT6/26/2020 | 2:14 AM EDT
DocuSign Envelope ID: 57339984-3B45-4168-95D0-D1D4174107F2
DocuSign Envelope ID: 57339984-3B45-4168-95D0-D1D4174107F2