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Venacare NW ~ 32400036 CITY OF TIGARD - CONTRACT SUMMARY & ROUTING FORM Contract Overview Contract/Amendment Number: 32400036 Contract Start Date: 06/17/2024 Contract End Date: 02/27/2027 Contract Title: Mobile Phlebotomy Services Contractor Name: VenaCare NW Contract Manager: Leigh Erickson/Lisa Shaw Department: PD Contract Costs Original Contract Amount: $3,500.00 annually, $10,500 total Total All Previous Amendments: n/a Total of this Amendment: n/a Total Contract Amount: $3,500.00 annually, $10,500 total Procurement Authority Contract Type: Personal Services Procurement Type: Small Procurement <=$10K Solicitation Number: n/a LCRB Date: n/a Account String: Fund-Division-Account Work Order – Activity Type Amount FY 25 1004100-54001 $3,500.00 FY 26 1004100-54001 $3.500.00 FY 27 1004100-54001 $3,500.00 Contracts & Purchasing Approval Purchasing Signature: Comments: Accounts are un-encumbered – used as needed. DocuSign Routing Route for Signature Name Email Address Contractor Frank Capobianco frankcapo@venacarenwlabs.com City of Tigard Steve Rymer stever@tigard-or.gov Final Distribution Contractor Frank Capobianco frankcapo@venacarenwlabs.com Project Manager Project Manager Lisa Shaw lisas@tigard-or.gov Buyer Toni Riccardi tonir@tigard-or.gov