Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Plastic Palmtree, Inc.
|
| Vendor Number (3____ for AP and 00___ for AR) |
324417
|
| Vendor Contact Name |
Masha Kupets Navarre
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Graphic Design
|
| Contract / Amendment Amount |
$105,000.00
|
| Is this a new agreement or an amendment to an existing agreement? |
New Agreement
|
| Supplemental Insurance (for Risk team only) |
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|
Upload Contract Documents
Upload Documents
| Upload Contract or Amendment Authorization Form |
Plastic Palm Tree - Authorization SIGNED SUMMARY.pdf, Plastic Palm Tree - Authorization SIGNED.pdf
|
| Upload Agreement or Amendment |
Plastic Palmtree - Graphic Design 2022 SIGNED.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Plastic Palmtree - Graphic Design 2022 SIGNED SUMMARY.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
Plastic Palm Tree - Auto.pdf, Plastic Palm Tree - COI.pdf, Plastic Palm Tree - WOS - AI.pdf, Plastic Palm Tree - COI Declations.pdf
|
| Describe changes to Insurance Requirements, if any (if no insurance is required, type "None required") |
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|
| Describe changes to Contract Template, if any (If none, type "None required") |
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|
| Add any notes you may have for Finance and Risk Review teams. |
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|
| Add name of RFP / RFQ / RFB, if issued |
Professional Graphic Design - RFQ April 13, 2022
|
| - or add weblink to RFP / RFQ / RFB, if issued |
N/A
|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
06/23/2022
|
| Policy Expiration Date |
06/23/2023
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
01/01/2022
|
| Expiration Date |
01/01/2023
|
| Policy Amount |
$100,000.00
|
| Waived |
personal auto accepted
|
Workers Comp Policy Details
| Endorsements |
Exempt
|
| Waived |
No employees
|
Professional Liability Policy Details
| Effective Date |
06/23/2022
|
| Expiration Date |
06/23/2023
|
| Policy Amount |
$250,000.00
|
| Endorsements |
reduced limits accepted
|
