Enter Basic Contract Information
Administrative Information
Basic Contract Details
Vendor Name |
National Council of Jewish Women
|
Vendor Number (3____ for AP and 00___ for AR) |
302923
|
Vendor Contact Name |
Marjorie Gilberg
|
Vendor Contact Email |
[email protected]
|
Contract / Amendment Title |
Amendment 14
|
Contract / Amendment Amount |
$50,000.00
|
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? |
9592
|
Supplemental Insurance (for Risk team only) |
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Upload Contract Documents
Upload Documents
Upload Contract or Amendment Authorization Form |
Autho A14.pdf
|
Upload Agreement or Amendment |
Amend 14 SocialServices-COVID19.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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Upload other supporting documents here, if necessary (e.g. staff reports, etc.) |
A14 Budget.pdf
|
Supplemental Risk Information
General Liability Details
Policy Effective Date |
06/30/2022
|
Policy Expiration Date |
06/30/2023
|
Policy Amount |
$1,000,000.00
|
Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
Effective Date |
06/30/2022
|
Expiration Date |
06/30/2023
|
Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
Effective Date |
02/15/2022
|
Expiration Date |
02/15/2023
|
Policy Amount |
$1,000,000.00
|
Endorsements |
WOS
|
Professional Liability Policy Details
Effective Date |
06/30/2022
|
Expiration Date |
06/30/2023
|
Endorsements |
1000000
|
Waived |
INCLUDES SA & MOLESTATION
|
Other Policy Details
Other Policy Name 1 |
CRIME
|
Effective Date 1 |
06/30/2022
|
Expiration Date 1 |
6/30/2023
|
Policy Amount 1 |
$100,000.00
|
Endorsements 1 |
LP
|