4-Attachment 2 Car Wash form.pdf

PDF 144 KB Posted

Attached to
Car Wash & Detailing
Solicitation number
RCO-RC-2025-017
Issued by
Rockland County, New York

About this file

This is a Car Wash Authorization Form issued by the Department of General Services, Purchasing Division of Rockland County, New York, located at the Dr. Robert L. Yeager Health Center in Pomona. The form serves as documentation for the county's car wash and detailing services contract, which provides exterior car washes and hand-held vacuum services for county vehicles and equipment on an as-needed basis. The authorization form includes fields for recording the department requesting the service, the vendor providing the service, the date of service, vehicle identification information (vehicle number and license plate), and signatures from authorized personnel. The scope of the underlying contract encompasses three identical service zones for the provision of exterior car washing and detailing services throughout the county.

The Car Wash Authorization Form functions as a tracking and authorization mechanism for individual service requests under the broader car wash and detailing contract. The form requires documentation of the requesting department, vendor information, and vehicle details to maintain accountability and ensure proper authorization of services. No specific pricing information, contract terms, renewal options, or award dates are detailed on this authorization form itself, as it serves solely as an operational document for processing individual car wash requests rather than establishing contract terms or conditions.

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Text version

DEPARTMENT OF GENERAL SERVICES, PURCHASING DIVISION

Dr. Robert L. Yeager Health Center

50 Sanatorium Rd, Building A Pomona, New York 10970

Phone: (845) 364-3820 Fax: (845) 364-3809 Email: purchasing@co.rockland.ny.us

Paul Brennan, CPPO Director of Purchasing

ATTACHMENT 2

CAR WASH AUTHORIZATION FORM

(TO INCLUDE REGULAR CAR WASH AND HAND HELD VACUUM)

DEPARTMENT: ________________________ VENDOR: _______________________________

ATT: _________________________________________________

DATE VEHICLE NO. LICENSE PLATE

NO.

PRINT NAME SIGNATURE

CARWASH.FRM

File details come from the government source that posted it. Updated .