Contract Review Process
Apr 11, 2022
submission
#1446
Enter Basic Contract Information
Administrative Information
Contract Manager Name (City Staff) | Francisco J Gomez |
Contract Manager Email ([email protected]) | [email protected] |
Administrator completing this workflow, if different (City staff) | |
Department | 05 - HSRS |
Division | 53 - Social Services |
Basic Contract Details
Vendor Name | Ambiance Transportation Co. LLC |
Vendor Number (3____ for AP and 00___ for AR) | 329076 |
Vendor Contact Name | Brian Moffett |
Vendor Contact Email | [email protected] |
Contract / Amendment Title | On-Call Transportation Services |
Contract / Amendment Amount | $685,048.00 |
Is this a new agreement or an amendment to an existing agreement? | Amendment |
If this is if a Contract Amendment, what is the Contract Number? | 009152 |
Supplemental Insurance (for Risk team only) | --- |
Upload Contract Documents
Upload Documents
Upload Contract or Amendment Authorization Form | Ambiance Auth Form (2).pdf |
Upload Agreement or Amendment | Attachment A-Ambiance Transportation.pdf |
Describe changes to Insurance Requirements, if any (if no insurance is required, type "None required") | --- |
Describe changes to Contract Template, if any (If none, type "None required") | --- |
Add any notes you may have for Finance and Risk Review teams. | --- |
Upload other supporting documents here, if necessary (e.g. staff reports, etc.) | On-Call Program Update-_5-2-22 (final).docx |