Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Jason Miller dba Jason Kentaro
|
| Vendor Number (3____ for AP and 00___ for AR) |
329951
|
| Vendor Contact Name |
Jason Miller
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Photography 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) |
---
|
Upload Contract Documents
Upload Documents
| Upload Contract or Amendment Authorization Form |
Jason Kentaro - Photography Authorization SIGNED SUMMARY.pdf, Jason Kentaro - Photography Authorization SIGNED.pdf
|
| Upload Agreement or Amendment |
Jason Kentaro - Photography 2022 SIGNED.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Jason Kentaro - Photography 2022 SIGNED SUMMARY.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
Jason Kentaro - Auto II.pdf, Jason Kentaro - Auto.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 |
Professional Photography Services - RFQ - April 13, 2022
|
| - or add weblink to RFP / RFQ / RFB, if issued |
N/A
|
Supplemental Risk Information
General Liability Details
Automobile Policy Details
| Effective Date |
03/13/2022
|
| Expiration Date |
09/13/2022
|
| Policy Amount |
$100,000.00
|
Workers Comp Policy Details
Professional Liability Policy Details
