Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Wilmes, LLC
|
| Vendor Number (3____ for AP and 00___ for AR) |
324276
|
| Vendor Contact Name |
Steve Wilmes
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Risk Mgmt and Safety Consultant
|
| Contract / Amendment Amount |
$10,000.00
|
| 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? |
008524
|
| Supplemental Insurance (for Risk team only) |
---
|
Upload Contract Documents
Upload Documents
| Upload Contract or Amendment Authorization Form |
Updated Wilmes CAF 6.14.21.pdf
|
| Upload Agreement or Amendment |
Signed Amendment_ 2 Steve Wilmes 6.14.21.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Dwilson Summary Page 6.14.21.pdf, Wilmes Summary.pdf, Summary Wilson.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
ID Card - S Wilmes.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") |
---
|
| Add any notes you may have for Finance and Risk Review teams. |
---
|
| Add name of RFP / RFQ / RFB, if issued |
|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
5/12/21
|
| Policy Expiration Date |
5/12/22
|
| Policy Amount |
$2,000,000.00
|
| Endorsements |
AI
|
Automobile Policy Details
| Effective Date |
1/27/21
|
| Expiration Date |
1/27/22
|
Workers Comp Policy Details
Professional Liability Policy Details
| Effective Date |
5/12/21
|
| Expiration Date |
5/12/22
|
| Policy Amount |
$1,000,000.00
|
