Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
amfAR
|
| Vendor Number (3____ for AP and 00___ for AR) |
329523
|
| Vendor Contact Name |
Kyle Clifford
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Co-Sponsorship of amfAR 2022
|
| Contract / Amendment Amount |
$0.00
|
| Is this a new agreement or an amendment to an existing agreement? |
New Agreement
|
| Supplemental Insurance (for Risk team only) |
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|
Upload Contract Documents
Upload Documents
| Upload Contract or Amendment Authorization Form |
Contract_Authorization_Form_-_amfARV1.pdf
|
| Upload Agreement or Amendment |
amfAR_Draft_V1_(KM).docx.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Summary - Contract Auth..pdf, Summary.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
city of we hollywood pnc_2_.pdf, city of w hollywood add insured pnc add insured_2_.pdf, COI City of West Hollywood_2_.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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|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
08/01/2022
|
| Policy Expiration Date |
08/01/2023
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI
|
Automobile Policy Details
| Endorsements |
not required for Co Sponsor
|
Workers Comp Policy Details
| Waived |
Not required for Co Sponsor
|
Professional Liability Policy Details
| Waived |
Not required for Co Spnosor
|
