Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Mike Ciriaco Inc.
|
| Vendor Number (3____ for AP and 00___ for AR) |
328056
|
| Vendor Contact Name |
Mike Ciriaco
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Video News Reporting for WeHoTV
|
| Contract / Amendment Amount |
$75,000.00
|
| 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 |
Mike Ciriaco Authorization 2020 SIGNED SUMMARY.pdf, Mike Ciriaco Authorization 2020 SIGNED - Justification Memo.pdf
|
| Upload Agreement or Amendment |
Mike Ciriaco 2020 REVISED TEMPLATE.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Mike Ciriaco 2020 SIGNED SUMMARY.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
Mike Ciriaco Insurance Documents 2020.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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|
| Add name of RFP / RFQ / RFB, if issued |
N/A
|
| - or add weblink to RFP / RFQ / RFB, if issued |
N/A
|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
06/16/20
|
| Policy Expiration Date |
06/16/21
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
07/05/20
|
| Expiration Date |
01/05/21
|
Workers Comp Policy Details
