Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Emily Wanserski
|
| Vendor Number (3____ for AP and 00___ for AR) |
328893
|
| Vendor Contact Name |
Emily Wanserski
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Technical Assistance Grant
|
| Contract / Amendment Amount |
$3,500.00
|
| 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? |
009878
|
| Supplemental Insurance (for Risk team only) |
---
|
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Supplemental Risk Information
General Liability Details
| Waived |
Insurance Waived during Covid-19 per request of vendor
|
Automobile Policy Details
| Waived |
Insurance Waived during Covid-19 per request of vendor
|
Workers Comp Policy Details
| Waived |
Insurance Waived during Covid-19 per request of vendor
|