Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Mike Branom dba Em and M Communications
|
| Vendor Number (3____ for AP and 00___ for AR) |
328750
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| Vendor Contact Name |
Mike Branom
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Writer Services
|
| 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 |
Mike Branom - Authorization SIGNED SUMMARY.pdf, Mike Branom - Authorization SIGNED.pdf
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| Upload Agreement or Amendment |
Mike Branom - Writing 2022 SIGNED.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Mike Branom - Writing 2022 SIGNED SUMMARY.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
Mike Branom - Auto.pdf
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| 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 Writer Services - RFQ - April 13, 2022
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| - or add weblink to RFP / RFQ / RFB, if issued |
N/A
|
Supplemental Risk Information
General Liability Details
Automobile Policy Details
| Effective Date |
07/01/2022
|
| Expiration Date |
01/01/2023
|
| Policy Amount |
$100,000.00
|
Workers Comp Policy Details
Professional Liability Policy Details
