Contracts

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