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Sep 07, 2022
submission #1807
Enter Basic Contract Information

Administrative Information

Contract Manager Name (City Staff) Margarita Kustanovich
Contract Manager Email ([email protected]) [email protected]
Department 04 - CSD
Division 18 - Public Safety Administration

Basic Contract Details

Vendor Name High-Speed Tac Med, LLC
Vendor Number (3____ for AP and 00___ for AR) 328389
Vendor Contact Name Erik Franco
Vendor Contact Email [email protected]
Contract / Amendment Title Emergency Preparedness Seminar for the Community
Contract / Amendment Amount $2,625.00
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? 010420
Supplemental Insurance (for Risk team only) ---
Upload Contract Documents

Upload Documents

Upload Contract or Amendment Authorization Form EdenContractAmendmentAuthorization-HSTM_EPS_Event_09.24.22.pdf
Upload Agreement or Amendment HSTM_Amendement_1__09.24.22_Seminar.pdf
Upload Docusign "Certificate(s) of Completion" Summary_Amendment 1.pdf, Summary.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. ---
Supplemental Risk Information

General Liability Details

Policy Effective Date 01/17/2022
Policy Expiration Date 01/17/2023
Policy Amount $1,000,000.00
Endorsements PNC, AI, WOS

Automobile Policy Details

Effective Date 07/14/2022
Expiration Date 01/14/2022
Policy Amount $25,000.00
Endorsements Pending docs

Workers Comp Policy Details

Endorsements Exempt

Professional Liability Policy Details

Effective Date 01/172022
Expiration Date 01/17/2023
Policy Amount $1,000,000.00