Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Race Forward
|
| Vendor Number (3____ for AP and 00___ for AR) |
329017
|
| Vendor Contact Name |
Raintry Salk
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
GARE Employee Assessment Survey
|
| Contract / Amendment Amount |
$5,000.00
|
| Is this a new agreement or an amendment to an existing agreement? |
New Agreement
|
| Supplemental Insurance (for Risk team only) |
---
|
Upload Contract Documents
Upload Documents
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
11/01/20
|
| Policy Expiration Date |
11/01/21
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
11/01/20
|
| Expiration Date |
11/01/21
|
| Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
| Effective Date |
04/08/20
|
| Expiration Date |
04/08/21
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
WOS
|
Professional Liability Policy Details
| Effective Date |
03/12/20
|
| Expiration Date |
03/12/21
|
| Policy Amount |
$3,000,000.00
|
Other Policy Details
| Other Policy Name 1 |
Cyber Liability
|
| Effective Date 1 |
01/18/20
|
| Expiration Date 1 |
01/18/21
|
| Policy Amount 1 |
$1,000,000.00
|
| Other Policy Name 2 |
Excess Liability
|
| Effective Date 2 |
11/01/20
|
| Expiration Date 2 |
11/01/21
|
| Policy Amount 2 |
$5,000,000.00
|
