SDP Plan Form Purchase of Service-PKGDOC1526349-0005.pdf
PDF 149 KB Posted
- Attached to
- Mobile Diagnostic Imaging
- Solicitation number
- BD-25-1053-1053C-CSR-111609
- Issued by
- Hampden County, Massachusetts
About this file
This is a signature page template for a Purchase of Service Agreement form, designated as Package Document Number PKGDOC1526349-0005. The document appears to be dated January 28, 2025, and serves as a signature block for contractor authorization.
The document contains only signature block elements, including spaces for an authorized signature, printed name, title, and date. No substantive contract details, pricing information, or other terms are included in this form.
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Text version
2025-01-28 Page 1 of 1 Confidential
*1EIKJ04-1* *1EIKJ04-1*
[***PKGDOC1526349-0005 *4 *031686258595074468109009584318042257216215003839*1*1***] Powered by ASC
Vendor Legal Name :
Package Document Number: PKGDOC1526349-0005
Blank Document Template
No document template exists for this document type: SDPFormPOS
IN WITNESS OF WHICH the Parties have duly executed this Agreement as of the Effective Date.
AUTHORIZING SIGNATURE FOR THE CONTRACTOR:
{{_es_:signer:signature}}
Authorized Signature
{{_es_:signer:fullname:default(’‘)}}
Print Name
{{_es_:signer:opttitle:default(‘’)}}
Title
{{_es_:signer:date}}
Date http://www.ascnet.com/
File details come from the government source that posted it. Updated .