Enter Basic Contract Information
Administrative Information
Basic Contract Details
Vendor Name |
Stommel Inc. DBA LEHR
|
Vendor Number (3____ for AP and 00___ for AR) |
328942
|
Vendor Contact Name |
Nick Brophy
|
Vendor Contact Email |
[email protected]
|
Contract / Amendment Title |
Code Compliance Vehicle Computers
|
Contract / Amendment Amount |
$0.00
|
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? |
009846
|
Supplemental Insurance (for Risk team only) |
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Upload Contract Documents
Upload Documents
Upload Contract or Amendment Authorization Form |
Stommel_Inc._Amendment Authorization Form_Final.pdf
|
Upload Agreement or Amendment |
Stommel_Contract_Amendment2.pdf
|
Upload Docusign "Certificate(s) of Completion" |
Summary.pdf, Summary.pdf
|
Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
Lehr Insurance.pdf, Leht COWH AI.pdf, Lehr WOS WC.pdf, Lehr COI CWH.pdf, Lehr Blanket AI WOS.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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Supplemental Risk Information
General Liability Details
Policy Effective Date |
05/01/20
|
Policy Expiration Date |
05/01/21
|
Policy Amount |
$1,000,000.00
|
Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
Effective Date |
05/01/20
|
Expiration Date |
05/01/21
|
Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
Effective Date |
05/01/20
|
Expiration Date |
05/01/21
|
Policy Amount |
$1,000,000.00
|
Endorsements |
WOS
|
Other Policy Details
Other Policy Name 1 |
Garage Keepers
|
Effective Date 1 |
05/01/20
|
Expiration Date 1 |
05/01/21
|
Policy Amount 1 |
$3,950,000.00
|
Other Policy Name 2 |
Excess Liability
|
Effective Date 2 |
05/01/20
|
Expiration Date 2 |
05/01/20
|
Policy Amount 2 |
$5,000,000.00
|