Enter Basic Contract Information
Administrative Information
Contract Manager Name (City Staff) |
Jenny Ivanova
|
Contract Manager Email ([email protected]) |
[email protected]
|
Administrator completing this workflow, if different (City staff) |
Jenny Ivanova
|
Department |
05 - HSRS
|
Division |
54 - Strategic Initiatives
|
Basic Contract Details
Vendor Name |
Kat Calvin
|
Vendor Number (3____ for AP and 00___ for AR) |
329040
|
Vendor Contact Name |
Kat Calvin
|
Vendor Contact Email |
[email protected]
|
Contract / Amendment Title |
Honorarium: SPECIAL CONTRACTED SERVICES
|
Contract / Amendment Amount |
$200.00
|
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
Supplemental Risk Information
General Liability Details
Waived |
No insurance required - Honorarium
|
Automobile Policy Details
Waived |
No insurance required - Honorarium
|
Workers Comp Policy Details
Waived |
No insurance required - Honorarium
|