Contract Review Process
Aug 19, 2021
submission
#1045
Enter Basic Contract Information
Administrative Information
| Contract Manager Name (City Staff) | Helen Collins |
| Contract Manager Email ([email protected]) | [email protected] |
| Administrator completing this workflow, if different (City staff) | Erin Hamant |
| Administrator email ([email protected]) | [email protected] |
| Department | 06 - FRS |
| Division | 55 - Facilities & Field Services |
Basic Contract Details
| Vendor Name | Avidex Industries, LLC |
| Vendor Number (3____ for AP and 00___ for AR) | 329479 |
| Vendor Contact Name | Kim Van Hooser |
| Vendor Contact Email | [email protected] |
| Contract / Amendment Title | CONSENT TO ASSIGN AUTHORIZATION FORM |
| Contract / Amendment Amount | $0.00 |
| Is this a new agreement or an amendment to an existing agreement? | It's something else. |
| Supplemental Insurance (for Risk team only) | --- |
Upload Contract Documents
Upload Documents
| Upload Contract or Amendment Authorization Form | Coversheet.pdf |
| Upload Agreement or Amendment | VendorNameChange-ConsentToAssignment.pdf |
| Upload Docusign "Certificate(s) of Completion" | Summary - Vendor Name Change.pdf |
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) | Avidex Insurance.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. | --- |
| Upload other supporting documents here, if necessary (e.g. staff reports, etc.) | DIGITAL NETWORKS GROUP INC. - CA MERGER EVIDENCE.pdf |
Supplemental Risk Information
General Liability Details
| Waived | Supplemental contract docs no ins required |
Automobile Policy Details
| Waived | Supplemental contract docs no ins required |
Workers Comp Policy Details
| Waived | Supplemental contract docs no ins required |