Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Maroon Society
|
| Vendor Number (3____ for AP and 00___ for AR) |
326356
|
| Vendor Contact Name |
Aaron Celious, Ph.D.
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
HIV Zero Evaluation
|
| 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? |
008437
|
| Supplemental Insurance (for Risk team only) |
---
|
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Supplemental Risk Information
General Liability Details
| Policy Effective Date |
07/14/20
|
| Policy Expiration Date |
07/14/21
|
| Policy Amount |
$100,000.00
|
Automobile Policy Details
| Effective Date |
07/14/20
|
| Expiration Date |
07/14/21
|
| Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
