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Dec 23, 2020
submission #580
Enter Basic Contract Information

Administrative Information

Contract Manager Name (City Staff) David Giugni
Contract Manager Email ([email protected]) [email protected]
Administrator completing this workflow, if different (City staff) Kim Patterson
Administrator email ([email protected]) [email protected]
Department 05 - HSRS
Division 53 - Social Services

Basic Contract Details

Vendor Name Candace Hilk
Vendor Number (3____ for AP and 00___ for AR) 310796
Vendor Contact Name Candace Hilk
Vendor Contact Email [email protected]
Contract / Amendment Title Fiscal consultant
Contract / Amendment Amount $12,500.00
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? 009478
Supplemental Insurance (for Risk team only) ---
Upload Contract Documents

Upload Documents

Upload Contract or Amendment Authorization Form revised signed Hilk EdenContractAmendmentForm_Fillable.pdf
Upload Agreement or Amendment DocuSign_Hilk_Amendment_BasicNo2-v2.p.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") ---
Supplemental Risk Information

General Liability Details

Policy Effective Date 01/30/20
Policy Expiration Date 01/30/21
Policy Amount $1,000,000.00
Endorsements PNC, AI, WOS

Automobile Policy Details

Effective Date 09/19/20
Expiration Date 03/19/21
Policy Amount $250,000.00

Workers Comp Policy Details

Endorsements Exempt