Contract Review Process
Apr 20, 2022
submission
#1460
Enter Basic Contract Information
Administrative Information
Contract Manager Name (City Staff) | Francisco Gomez |
Contract Manager Email ([email protected]) | [email protected] |
Department | 05 - HSRS |
Division | 53 - Social Services |
Basic Contract Details
Vendor Name | Mydatt Services |
Vendor Number (3____ for AP and 00___ for AR) | 322774 |
Vendor Contact Name | Daniela Vasile |
Vendor Contact Email | [email protected] |
Contract / Amendment Title | Amendment No. 1 |
Contract / Amendment Amount | $164,000.00 |
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? | 10229 |
Supplemental Insurance (for Risk team only) | --- |
Upload Contract Documents
Upload Documents
Upload Contract or Amendment Authorization Form | BBB auth form.pdf |
Upload Agreement or Amendment | BBB Amend No. 1.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.) | The PickUp--Annual Update--May 2022.final.docx |