Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Conduent State & Local Solutions, Inc.
|
| Vendor Number (3____ for AP and 00___ for AR) |
312087
|
| Vendor Contact Name |
Armen Kazaryan
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Amendment No. 1
|
| Contract / Amendment Amount |
$192,886.00
|
| 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? |
00845
|
| Supplemental Insurance (for Risk team only) |
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|
Upload Contract Documents
Upload Documents
| Upload Contract or Amendment Authorization Form |
Docusign Summary Contract Amend Form Conduent Amend 1.pdf, EdenContractAmendmentForm_Conduent_PBP_Amend_No.1.pdf, EdenContractAmendmentForm_Conduent_PBP_Amend_No.1_VG JR.pdf
|
| Upload Agreement or Amendment |
Conduent_Amendment_1 Signed.pdf, Conduent_Amendment_1_-__Parking_Permit_Management_Service_Revised.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Docusign Summary Conduent Amendments 040221.pdf, Conduent DocuSign Summary.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
Conduent Inc. COI JAN 2021.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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|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
01/01/21
|
| Policy Expiration Date |
01/01/22
|
| Policy Amount |
$2,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
01/01/21
|
| Expiration Date |
01/01/22
|
| Policy Amount |
$2,000,000.00
|
Workers Comp Policy Details
| Effective Date |
01/01/21
|
| Expiration Date |
01/01/22
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
WOS
|
Other Policy Details
| Other Policy Name 1 |
Fidelity Bond - Crime
|
| Effective Date 1 |
06/01/20
|
| Expiration Date 1 |
06/01/21
|
| Policy Amount 1 |
$15,000,000.00
|
| Other Policy Name 2 |
Cyber
|
| Effective Date 2 |
06/01/20
|
| Expiration Date 2 |
06/01/21
|
| Policy Amount 2 |
$1,000,000.00
|
