Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Emily Wanserski
|
| Vendor Number (3____ for AP and 00___ for AR) |
328893
|
| Vendor Contact Name |
Emily Wanserski
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Technical Assistance Contract – NEA Grant Writing
|
| Contract / Amendment Amount |
$2,000.00
|
| 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 |
CAF Emily Wanserski - NEA Grant.pdf
|
| Upload Agreement or Amendment |
Emily Wanserski_NEA_Basic_Contract_v2.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
certificate (1).pdf
|
| Describe changes to Insurance Requirements, if any (if no insurance is required, type "None required") |
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| Upload approval for insurance changes, if any (e.g., email from Risk) |
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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
Automobile Policy Details
Workers Comp Policy Details
Professional Liability Policy Details
