Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Maroon Society
|
| Vendor Number (3____ for AP and 00___ for AR) |
326356
|
| Vendor Contact Name |
Aaron Celious
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
HIV Zero Initiative
|
| Contract / Amendment Amount |
$22,117.00
|
| 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? |
008437
|
| Supplemental Insurance (for Risk team only) |
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Upload Contract Documents
Upload Documents
| Upload Contract or Amendment Authorization Form |
FOR OFFICIAL USE ONLY_ (1) (1).pdf
|
| Upload Agreement or Amendment |
Maroon6_merged_Revised-2 (1).pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Summary.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
maroon society 8.17.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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| Add any notes you may have for Finance and Risk Review teams. |
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|
Supplemental Risk Information
Upload Additional Insurance Files Here
General Liability Details
| Policy Effective Date |
07/14/2021
|
| Policy Expiration Date |
07/14/2022
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
| Waived |
Endorsements SS0008 provide all
|
Automobile Policy Details
| Effective Date |
07/14/2021
|
| Expiration Date |
07/14/2022
|
| Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
| Endorsements |
Exempt
|
| Waived |
Exempt for Workers Comp - no ee's
|
