Smith Charities CPA Cover.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: 8F974F29-5F70-4374-BFBB-4F73DEC30C03
0.00
$234,618
X
0.00
Borrowing
3100932-59326
4-23
0.00
$183,315
0.00
0.00
Revolving
0.00
$234,618
0.00
$183,315
$417,933
Trustees of Smith Charities
3100932-59326
2-23
Grant
Repairs and Rehabilitation to Smith Charities Building, 51 Main
Street
Emergency
Repairs 2
3 years from contract execution
139B/C
19190
X
51 Main
Street
CPA c/o Planning & Sustainability
0.00
8/3/2023 | 4:45 PM EDTCarolyn S. Misch
8/7/2023 | 8:47 AM EDTJoyce Karpinski
William Coffey 8/4/2023 | 10:09 AM EDT
8/7/2023 | 12:34 PM EDTCharlene Nardi
8/7/2023 | 4:45 PM EDTGina-Louise Sciarra
80-24