Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Fairbank, Maslin, Maullin, Metz & Associates (FM3)
|
| Vendor Number (3____ for AP and 00___ for AR) |
325226
|
| Vendor Contact Name |
Richard Bernard
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Eviction Moratorium residential survey
|
| Contract / Amendment Amount |
$31,688.00
|
| 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 |
FM3 contract authorization form.pdf
|
| Upload Agreement or Amendment |
FM3 contract - Residential survey -31,688.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
FM3 contract DocuSign summary.pdf, FM3 contract authorization form Docusign summary.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
FM3 - COI exp. 1.13.21.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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| Add any notes you may have for Finance and Risk Review teams. |
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|
| Upload other supporting documents here, if necessary (e.g. staff reports, etc.) |
FM3 Procurement Memo.pdf
|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
01/13/20
|
| Policy Expiration Date |
01/13/21
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
01/13/20
|
| Expiration Date |
01/13/21
|
| Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
| Effective Date |
01/13/20
|
| Expiration Date |
01/13/20
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
WOS
|
Professional Liability Policy Details
| Effective Date |
01/13/20
|
| Expiration Date |
01/13/21
|
| Policy Amount |
$2,000,000.00
|
