Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Fifth Asset Inc./DBA Debt Book
|
| Vendor Number (3____ for AP and 00___ for AR) |
329937
|
| Vendor Contact Name |
Bill Fray
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Basic contract $25,000 or less
|
| Contract / Amendment Amount |
$9,750.00
|
| 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 |
EdenContractAuthorizationForm-v3-2021-07-21_(2).pdf
|
| Upload Agreement or Amendment |
Proposal - 6-27-22 a (2) (1).pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Summary.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
2022 DebtBook COI (1).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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|
| Upload other supporting documents here, if necessary (e.g. staff reports, etc.) |
Memo to File - GASB 87 - Lease Accounting Software selection.pdf, Approval from City Attorney.pdf
|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
11.01.2021
|
| Policy Expiration Date |
11.01.2022
|
| Policy Amount |
$1,000,000.00
|
| Waived |
Evidence only all endorsements waived
|
Automobile Policy Details
| Effective Date |
11.01.2021
|
| Expiration Date |
11.01.2022
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
all end waived
|
Workers Comp Policy Details
| Effective Date |
09.01.2021
|
| Expiration Date |
09.01.2022
|
| Policy Amount |
$1,000,000.00
|
| Waived |
all endorsements waived
|
Professional Liability Policy Details
| Effective Date |
02/01/2021
|
| Expiration Date |
02/01/2022
|
| Policy Amount |
$3,000,000.00
|
