Enter Basic Contract Information
Administrative Information
Basic Contract Details
Vendor Name |
American GTS
|
Vendor Number (3____ for AP and 00___ for AR) |
322816
|
Vendor Contact Name |
Anna Swemline
|
Vendor Contact Email |
[email protected]
|
Contract / Amendment Title |
PickUp Operations
|
Contract / Amendment Amount |
$581,105.00
|
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? |
008583
|
Supplemental Insurance (for Risk team only) |
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Upload Contract Documents
Upload Documents
Upload Contract or Amendment Authorization Form |
AGTS_Amendment_No._3_Auth_Form.pdf
|
Upload Agreement or Amendment |
AGTS_Amendment No. 3_r.pdf
|
Upload Docusign "Certificate(s) of Completion" |
certificate.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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Supplemental Risk Information
General Liability Details
Policy Effective Date |
04/07/20
|
Policy Expiration Date |
04/07/21
|
Policy Amount |
$5,000,000.00
|
Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
Effective Date |
04/07/20
|
Expiration Date |
04/07/21
|
Policy Amount |
$5,000,000.00
|
Workers Comp Policy Details
Effective Date |
11/18/20
|
Expiration Date |
03/06/21
|
Policy Amount |
$1,000,000.00
|
Endorsements |
WOS
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