Enter Basic Contract Information
Administrative Information
Basic Contract Details
Vendor Name |
Keyser Marston Associates, Inc.
|
Vendor Number (3____ for AP and 00___ for AR) |
306731
|
Vendor Contact Name |
Kathe Head
|
Vendor Contact Email |
[email protected]
|
Contract / Amendment Title |
Amendment No. 1
|
Contract / Amendment Amount |
$0.00
|
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? |
010207
|
Supplemental Insurance (for Risk team only) |
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|
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Supplemental Risk Information
General Liability Details
Policy Effective Date |
12/1/2021
|
Policy Expiration Date |
12/1/2022
|
Policy Amount |
$1,000,000.00
|
Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
Effective Date |
12/1/2021
|
Expiration Date |
12/1/2022
|
Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
Effective Date |
7/1/2022
|
Expiration Date |
7/1/2023
|
Policy Amount |
$1,000,000.00
|
Endorsements |
WOS
|
Professional Liability Policy Details
Effective Date |
12/1/2021
|
Expiration Date |
12/1/2022
|
Policy Amount |
$1,000,000.00
|
Other Policy Details
Other Policy Name 1 |
Umbrella / Excess
|
Effective Date 1 |
12/1/2021
|
Expiration Date 1 |
12/1/2022
|
Policy Amount 1 |
$4,000,000.00
|