Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Managed Health Network (MHN)
|
| Vendor Number (3____ for AP and 00___ for AR) |
328110
|
| Vendor Contact Name |
Monica Andrade
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Plan year 2020 contract amount increase due to increased trainings and workshops in response to catastrophic/traumatic events such as pandemic and other work/life changes.
|
| Contract / Amendment Amount |
$53,500.00
|
| 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? |
9278
|
| Supplemental Insurance (for Risk team only) |
---
|
Upload Contract Documents
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Supplemental Risk Information
General Liability Details
| Waived |
No Insurance Required
|
Automobile Policy Details
| Waived |
No Insurance Required
|
Workers Comp Policy Details
| Waived |
No Insurance Required
|
