Contract Review Process
Feb 24, 2023
submission
#2105
Enter Basic Contract Information
Administrative Information
Contract Manager Name (City Staff) | Yazmin Spiteri |
Contract Manager Email ([email protected]) | [email protected] |
Administrator completing this workflow, if different (City staff) | Roger Vinalon Jr. |
Administrator email ([email protected]) | [email protected] |
Department | 05 - HSRS |
Division | 62 - Rent Stabilization & Housing |
Basic Contract Details
Vendor Name | Coalition for Economic Survival |
Vendor Number (3____ for AP and 00___ for AR) | 329228 |
Vendor Contact Name | Larry Gross |
Vendor Contact Email | [email protected] |
Contract / Amendment Title | Amendment 2 |
Contract / Amendment Amount | $15,000.00 |
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? | 10072 |
Supplemental Insurance (for Risk team only) | --- |
Upload Contract Documents
Upload Documents
Upload Contract or Amendment Authorization Form | Coalition for Economic Survival - Contract 10072 Amendment 2 Authorization.pdf |
Upload Agreement or Amendment | Coalition for Economic Survival - Contract 10072 Amendment 2.pdf |
Upload Docusign "Certificate(s) of Completion" | Coalition for Economic Survival - Contract 10072 Amendment 2 DocuSign summary.pdf |
Upload Insurance Documents (COI, Endorsements, WOS, etc.) | Coalition for Economic Survival - GL ACORD exp. 11.4.23.pdf, Exhibit B - Request for exemption from auto liability.pdf, Coalition for Economic Survival - workers comp endorsment exp. 1.1.24.pdf |
Describe changes to Insurance Requirements, if any (if no insurance is required, type "None required") | --- |
Upload approval for insurance changes, if any (e.g., email from Risk) | --- |
Describe changes to Contract Template, if any (If none, type "None required") | --- |
Add any notes you may have for Finance and Risk Review teams. | --- |
Add name of RFP / RFQ / RFB, if issued |