Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Hollywood Chapter of NOW
|
| Vendor Number (3____ for AP and 00___ for AR) |
319196
|
| Vendor Contact Name |
Karen Eyres
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Co-Sponsorship of the Transvagina Diaries 2022
|
| Contract / Amendment Amount |
$10,000.00
|
| 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 |
CAF_-_Hollywood_NOW_Co-Sponsorship.pdf
|
| Upload Agreement or Amendment |
ATTACHMENT_A_-_Co-Sponsorship_with_Hollywood_NOW.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Summary.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
Policy (SEL).pdf, Certificate of Insurance (SEL).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.) |
STAFF_REPORT 2J.pdf
|
Supplemental Risk Information
Upload Additional Insurance Files Here
General Liability Details
| Policy Effective Date |
11/05/2022
|
| Policy Expiration Date |
11/07/2022
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI
|
| Waived |
pending City specific endorsements
|
Automobile Policy Details
Workers Comp Policy Details
Professional Liability Policy Details
