City of Goodyear C-5430-A2-20

AGREEMENT/CONTRACT COVER SHEET
This form along withtheoriginalexecutedagreement/contractmust besubmitted tothe City
16
Clerk's Office. The Department contact listed below will be notified once the document(s) is
available in OpenText.
ASSIGNED CONTRACTNO. C- 5430-A2-20
REQUEST DATE: 01/21/22
1.
ROUTING & APPROVALS
nitici.IüApproválíž'Date?
Name & Extension: Todd Carpenter, Ext. #7463
Department:
Public Works
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Legal: City Attorney
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Procurement: Jacque Behrens
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City Manager: Julie Karins (fapplicable)
11.
GENERAL INFORMATION
To be completed by Department/Project Manager
Contract Type
Amendment
Other
Does this contract need to be recorded with the Maricopa County Recorder's Office?
Project Name
-
Water Reclamation Facility Laboratory Supplies
Description
Business Name
USA BlueBook
Name & Phone/Email
Michael Adams, 602.425.1565 / madams@usabluebook.com
Mailing Address
3781 Burwood Dr.
City, State, Zip Code
Waukegan, IL 60085
Contract Amount
$30,000.00
Start Date
02/10/22
End Date
02/09/23
Council Meeting Date
Agenda Item
Al-
Link contract to -
20-5430
Additional Comments
Per Request for Quotes 20-007
111.
PROCUREMENT & INSURANCE REVIEW
All contracts are routed through Finance and Legal Services. Finance will assign a contract number. IGAs,
Easements, Lease/Property Acquisition and Development Agreements DO NOT require procurement
review. Contracts for Council approval must be reviewed and signed off by Procurement or the City
Manager & City Attorney prior to going to Council.
To be completed by Procurement
Initials
Date
Insurance Certificate
N/A
Bid Bond
Performance Bond
Payment Bond
IV.
CITY CLERK REVIEW
Retention
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Scanned into OpenText *122-
Destruction
Completed by
(revised 2021-10-15)

4/4.
Office of Procurement
Contract Amendment
190 N. Litchfield Road
P.O. Box 5100
No. 2
Goodyear, AZ 85338
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Contract Number: CON-20-5430-A2
Phone: 623-882-7879
woo¿Iyear
Water Reclamation Facility Laboratory Supplies
CONTRACT EXTENSION
Pursuant to Terms and Conditions of the Agreement, 25. Contract Term, contract CON-20-5430 is
hereby mutually extended from 2/10/22 through 2/9/23 unless terminated, cancelled or extended as
otherwise provided in the contract.
There are two (2) remaining extensions on the contract.
No other terms, conditions, orperformance standards written orimplied are changed.
Procurement Specialist: Andrea Nejeres
City ofGood*f'ríl/
USA BlueBook
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??1 #acque Be®íns, CPPB
Date
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Date
Title:
Procurement Manager
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Typed Name and Title
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Approved a; to Fo
Darcie McCracken, City Clerk/0-L 91 l i, AMP, L'
of 09642 City Attorney
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