Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
EyeJack PTY LTD
|
| Vendor Number (3____ for AP and 00___ for AR) |
329143
|
| Vendor Contact Name |
Alison Lucker
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
AR Enhancement of Mike Stilkey Mural
|
| Contract / Amendment Amount |
$7,000.00
|
| 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 |
Eyejack CAF SIGNED.pdf
|
| Upload Agreement or Amendment |
EyeJack Contract SIGNED.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Eyejack Cert.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
20210419 POLICY ESJ0031086715.pdf, MEDIA_Wording_Aus_V2.1.pdf, Cert City of wh.pdf, 20210430 AI.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 |
04/16/21
|
| Policy Expiration Date |
04/16/22
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Waived |
INSURANCE NOT REQUIRED
|
Workers Comp Policy Details
| Waived |
INSURANCE NOT REQUIRED
|
