Contract Review Process
May 25, 2022
submission
#1557
Enter Basic Contract Information
Administrative Information
| Contract Manager Name (City Staff) | Jonathan Holub |
| Contract Manager Email ([email protected]) | [email protected] |
| Administrator completing this workflow, if different (City staff) | Celeste Barrino |
| Administrator email ([email protected]) | [email protected] |
| Department | 05 - HSRS |
| Division | 05 - HSRS Administration |
Basic Contract Details
| Vendor Name | Law Office of Alan Seltzer |
| Vendor Number (3____ for AP and 00___ for AR) | 329149 |
| Vendor Contact Name | Alan Seltzer |
| Vendor Contact Email | [email protected] |
| Contract / Amendment Title | AMENDMENT No. 1 TO AGREEMENT FOR SERVICES |
| Contract / Amendment Amount | $50,000.00 |
| 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? | 010451 |
| Supplemental Insurance (for Risk team only) | --- |
Upload Contract Documents
Upload Documents
| Upload Contract or Amendment Authorization Form | Contract Amendment Authorization (signed).pdf |
| Upload Agreement or Amendment | Alan Seltzer Contract Amendment 1 (signed).pdf |
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) | WEHO.AUTOMATIC RENEWAL CERTIFICATE.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. | --- |
| Add name of RFP / RFQ / RFB, if issued | none |