Contract Review Process
Sep 01, 2021
submission
#1061
Enter Basic Contract Information
Administrative Information
Contract Manager Name (City Staff) | Katie Egan |
Contract Manager Email ([email protected]) | [email protected] |
Administrator completing this workflow, if different (City staff) | DeeA'na Saunders |
Administrator email ([email protected]) | [email protected] |
Department | 05 - HSRS |
Division | 53 - Social Services |
Basic Contract Details
Vendor Name | Ascencia |
Vendor Number (3____ for AP and 00___ for AR) | 326342 |
Vendor Contact Name | Laura Duncan |
Vendor Contact Email | [email protected] |
Contract / Amendment Title | Agreement for Services |
Contract / Amendment Amount | $329,834.00 |
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? | 009603 |
Supplemental Insurance (for Risk team only) | --- |
Upload Contract Documents
Upload Documents
Upload Contract or Amendment Authorization Form | autho.pdf |
Upload Agreement or Amendment | amend 4 merged.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") | --- |