HomeMy WebLinkAboutAgreement - Pump Repair Service Company - Replace parts and repair Well #3 @ 7325 Forest Street - Signed 2022-07-18City of Gilroy
Agreement/Contract Tracking
Today’s Date:
August 10, 2022 Your Name: Sheila Castillo
Contract
Type:
Services over $5k - Contractor -
NO ENG OR DESIGN
Phone Number: 408-846-0569
Contract Effective Date:
(Date contract goes into effect)
7/18/2022
Contract Expiration Date: 6/30/2023
Contractor / Consultant Name:
(if an individual’s name, format as
last name, first name)
Pump Repair Service Co
Contract Subject:
(no more than 100 characters)
Replace parts and repair Well #3 located at 7325 Forest Street in Gilroy,
CA
Contract Amount:
(Total Amount of contract. If no
amount, leave blank)
34000
By submitting this form, I confirm
this information is complete:
Date of Contract
Contractor/Consultant name and complete address
Terms of the agreement (start date, completion date or “until
project completion”, cap of compensation to be paid)
Scope of Services, Terms of Payment, Milestone Schedule and
exhibit(s) attached
Taxpayer ID or Social Security # and Contractors License # if
applicable
Contractor/Consultant signer’s name and title
City Administrator or Department Head Name, City Clerk
(Attest), City Attorney (Approved as to Form)
Routing Steps for Electronic Signature
Risk Manager
City Attorney Approval As to Form
City Administrator or Department Head
City Clerk Attestation
DocuSign Envelope ID: 1D5D38CD-D84C-49F6-A926-D923D16954B4
DocuSign Envelope ID: 1D5D38CD-D84C-49F6-A926-D923D16954B4
DocuSign Envelope ID: 1D5D38CD-D84C-49F6-A926-D923D16954B4
DocuSign Envelope ID: 1D5D38CD-D84C-49F6-A926-D923D16954B4
DocuSign Envelope ID: 1D5D38CD-D84C-49F6-A926-D923D16954B4
DocuSign Envelope ID: 1D5D38CD-D84C-49F6-A926-D923D16954B4
DocuSign Envelope ID: 1D5D38CD-D84C-49F6-A926-D923D16954B4
DocuSign Envelope ID: 1D5D38CD-D84C-49F6-A926-D923D16954B4
DocuSign Envelope ID: 1D5D38CD-D84C-49F6-A926-D923D16954B4Daryl JordanPublic Works Director
DocuSign Envelope ID: 1D5D38CD-D84C-49F6-A926-D923D16954B4
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DocuSign Envelope ID: 1D5D38CD-D84C-49F6-A926-D923D16954B4
DocuSign Envelope ID: 1D5D38CD-D84C-49F6-A926-D923D16954B4
DocuSign Envelope ID: 1D5D38CD-D84C-49F6-A926-D923D16954B4
DocuSign Envelope ID: 1D5D38CD-D84C-49F6-A926-D923D16954B4
DocuSign Envelope ID: 1D5D38CD-D84C-49F6-A926-D923D16954B4