Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Omega Construction Company, Inc.
|
| Vendor Number (3____ for AP and 00___ for AR) |
319904
|
| Vendor Contact Name |
Marina Saroukos
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
ON CALL GENERAL CONTRACTING & TI SERVICES - AMENDMENT NO. 1
|
| Contract / Amendment Amount |
$400,000.00
|
| 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? |
009260
|
| Supplemental Insurance (for Risk team only) |
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|
Upload Contract Documents
Upload Documents
| Upload Contract or Amendment Authorization Form |
Amendment 1 Coversheet.pdf
|
| Upload Agreement or Amendment |
Amendment 1_Omega_SIGNED.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Summary.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
Insurance Compliant.docx
|
| 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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|
| Upload other supporting documents here, if necessary (e.g. staff reports, etc.) |
STAFF_REPORT.pdf
|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
7/19/20
|
| Policy Expiration Date |
7/19/21
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
9/16/20
|
| Expiration Date |
9/16/21
|
| Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
| Effective Date |
2/16/21
|
| Expiration Date |
2/16/22
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
WOS
|
Other Policy Details
| Other Policy Name 1 |
Excess Liability
|
| Effective Date 1 |
7/19/20
|
| Expiration Date 1 |
7/19/21
|
| Policy Amount 1 |
$7,000,000.00
|
