Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Federal Heath Sign Company LLC
|
| Vendor Number (3____ for AP and 00___ for AR) |
328927
|
| Vendor Contact Name |
Lynn Anderson
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Neon sign Storage and Preservation
|
| Contract / Amendment Amount |
$28,250.00
|
| 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? |
009842
|
| Supplemental Insurance (for Risk team only) |
---
|
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Supplemental Risk Information
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General Liability Details
| Policy Effective Date |
09/05/2022
|
| Policy Expiration Date |
09/05/2023
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
09/05/2022
|
| Expiration Date |
09/05/2023
|
| Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
| Effective Date |
09/05/2022
|
| Expiration Date |
09/05/2023
|
| Policy Amount |
$1,000,000.00
|
| Waived |
WOS waived
|
Professional Liability Policy Details
