Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Alliance for Housing and Healing
|
| Vendor Number (3____ for AP and 00___ for AR) |
326469
|
| Vendor Contact Name |
Terry D. Goddard II
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
009043 Tenant relocation services / Amendment 1
|
| 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? |
009043
|
| Supplemental Insurance (for Risk team only) |
---
|
Upload Contract Documents
Upload Documents
| Upload Contract or Amendment Authorization Form |
AHH contract 9043 Amendment 1 authorization form.pdf
|
| Upload Agreement or Amendment |
Alliance for Housing and Healing contract 9043 amendment 1.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Summary.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
AHH workers comp WOS.pdf, AHH - COI exp. 2021.pdf
|
| Describe changes to Insurance Requirements, if any (if no insurance is required, type "None required") |
---
|
| Describe changes to Contract Template, if any (If none, type "None required") |
---
|
| Add any notes you may have for Finance and Risk Review teams. |
---
|
| Add name of RFP / RFQ / RFB, if issued |
|
| Upload other supporting documents here, if necessary (e.g. staff reports, etc.) |
Council consent calendar 5.4.20 p. A7-A8 - contract extensions.pdf
|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
09/04/20
|
| Policy Expiration Date |
09/04/21
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
09/04/20
|
| Expiration Date |
09/04/21
|
| Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
| Effective Date |
07/01/20
|
| Expiration Date |
07/01/21
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
WOS
|
Other Policy Details
| Other Policy Name 1 |
Excess Liability
|
| Effective Date 1 |
09/04/20
|
| Expiration Date 1 |
09/04/21
|
| Policy Amount 1 |
$1,000,000.00
|