Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Tesla, Inc.
|
| Vendor Number (3____ for AP and 00___ for AR) |
329118
|
| Vendor Contact Name |
Jorn van de Ven
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
SUPERCHARGER AGREEMENT
|
| Contract / Amendment Amount |
$0.00
|
| 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 |
Tesla Contract Authorization Form.pdf
|
| Upload Agreement or Amendment |
Tesla Supercharger Station Sunset Lot final (11-03-20).pdf
|
| Upload Docusign "Certificate(s) of Completion" |
DocuSign Certificate of Completion.pdf
|
| Describe changes to Insurance Requirements, if any (if no insurance is required, type "None required") |
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|
| Upload approval for insurance changes, if any (e.g., email from Risk) |
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|
| Describe changes to Contract Template, if any (If none, type "None required") |
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|
| Upload approval for contract template changes (e.g., email from Finance or City Attorney) |
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|
| Add any notes you may have for Finance and Risk Review teams. |
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|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
10/31/20
|
| Policy Expiration Date |
10/31/21
|
| Policy Amount |
$2,500,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
10/31/20
|
| Expiration Date |
10/31/21
|
| Policy Amount |
$10,000,000.00
|
Workers Comp Policy Details
| Effective Date |
10/31/20
|
| Expiration Date |
10/31/21
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
WOS
|
Professional Liability Policy Details
| Policy Amount |
$1,000,000.00
|
| Waived |
|
