Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
The Translatina Coalition
|
| Vendor Number (3____ for AP and 00___ for AR) |
327146
|
| Vendor Contact Name |
Bamby Salcedo
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Contract for transgender services.
|
| Contract / Amendment Amount |
$250,000.00
|
| 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_Auth..pdf
|
| Upload Agreement or Amendment |
TransLatina Contract.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
COI wc.pdf, COI 1.8.23.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.) |
TRUE_Program-Budget.pdf, TLC_Scope_22-23.pdf
|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
01/08/2022
|
| Policy Expiration Date |
01/08/2023
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
01/08/2022
|
| Expiration Date |
01/08/2023
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
includes Sexual Misconduct
|
Workers Comp Policy Details
| Effective Date |
04/03/2022
|
| Expiration Date |
04/03/2023
|
| Policy Amount |
$1,000,000.00
|
| Waived |
WOS waived
|
Professional Liability Policy Details
| Effective Date |
03/14/2022
|
| Expiration Date |
03/14/2023
|
| Policy Amount |
$3,000,000.00
|
| Waived |
Cyber Liability and D&O coverage
|
Other Policy Details
| Other Policy Name 1 |
Crime
|
| Effective Date 1 |
01/01/2021
|
| Expiration Date 1 |
01/01/2024
|
| Policy Amount 1 |
$154,000.00
|
