Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Alliance for Housing and Healing
|
| Vendor Number (3____ for AP and 00___ for AR) |
326469
|
| Vendor Contact Name |
Terry Goddard II
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Contract for HIV and rental assistance services
|
| Contract / Amendment Amount |
$198,939.00
|
| Is this a new agreement or an amendment to an existing agreement? |
New Agreement
|
| Supplemental Insurance (for Risk team only) |
---
|
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Supplemental Risk Information
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General Liability Details
| Policy Effective Date |
09/04/2022
|
| Policy Expiration Date |
09/04/2023
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
09/04/2022
|
| Expiration Date |
09/04/2023
|
| Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
| Effective Date |
09/04/2022
|
| Expiration Date |
09/04/2023
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
WOS
|
Professional Liability Policy Details
| Effective Date |
09/04/2022
|
| Expiration Date |
09/04/2023
|
| Policy Amount |
$10,000.00
|
Other Policy Details
| Other Policy Name 1 |
Professional Liab & Med Mal & SA
|
| Effective Date 1 |
09/04/2022
|
| Expiration Date 1 |
09/04/2023
|
| Policy Amount 1 |
$1,000,000.00
|
| Other Policy Name 2 |
Crime
|
| Effective Date 2 |
09/04/2022
|
| Expiration Date 2 |
09/04/2023
|
| Policy Amount 2 |
$1,000,000.00
|
