HomeMy WebLinkAboutAgreement - Ernie's Plumbing & Repair Service, Inc. - Date Extensin of toilet replacement in men's and women's restrooms at Las Animas Veterans Park - Signed 2022-05-24DocuSign Envelope ID: F497B6A0-A22F-4900-947E-3868E98803E1
DocuSign Envelope ID: F497B6A0-A22F-4900-947E-3868E98803E1
DocuSign Envelope ID: F497B6A0-A22F-4900-947E-3868E98803E1
DocuSign Envelope ID: F497B6A0-A22F-4900-947E-3868E98803E1
DocuSign Envelope ID: F497B6A0-A22F-4900-947E-3868E98803E1
DocuSign Envelope ID: F497B6A0-A22F-4900-947E-3868E98803E1
DocuSign Envelope ID: F497B6A0-A22F-4900-947E-3868E98803E1
DocuSign Envelope ID: F497B6A0-A22F-4900-947E-3868E98803E1
DocuSign Envelope ID: F497B6A0-A22F-4900-947E-3868E98803E1
DocuSign Envelope ID: F497B6A0-A22F-4900-947E-3868E98803E1
DocuSign Envelope ID: F497B6A0-A22F-4900-947E-3868E98803E1
DocuSign Envelope ID: F497B6A0-A22F-4900-947E-3868E98803E1
DocuSign Envelope ID: F497B6A0-A22F-4900-947E-3868E98803E1
DocuSign Envelope ID: F497B6A0-A22F-4900-947E-3868E98803E1
DocuSign Envelope ID: F497B6A0-A22F-4900-947E-3868E98803E1
DocuSign Envelope ID: F497B6A0-A22F-4900-947E-3868E98803E1
DocuSign Envelope ID: F497B6A0-A22F-4900-947E-3868E98803E1
DocuSign Envelope ID: F497B6A0-A22F-4900-947E-3868E98803E1
8/12/2022
Public Works Director
Daryl Jordan
DocuSign Envelope ID: F497B6A0-A22F-4900-947E-3868E98803E1
City of Gilroy
Agreement/Contract Tracking
Today’s Date:
August 1, 2022 Your Name: Michael Lewis
Contract
Type:
Services over $5k - Contractor -
NO ENG OR DESIGN
Phone Number: 408-846-0265
Contract Effective Date:
(Date contract goes into effect)
5/24/2022
Contract Expiration Date: 11/1/2022
Contractor / Consultant Name:
(if an individual’s name, format as
last name, first name)
Ernie’s Plumbing & Repair Service Inc.
7411 Railroad Street
Gilroy, CA 95020
Taxpayer ID: 77-0574867
Contractor’s License # 814925
Signer’s Name/Title: Rosie Duenas/Office Manager
Contract Subject:
(no more than 100 characters)
Date extension of toilet replacement in men's and women's restrooms at
Las Animas Veterans Park.
Contract Amount:
(Total Amount of contract. If no
amount, leave blank)
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: F497B6A0-A22F-4900-947E-3868E98803E1