Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Umi Fangyu Hsu
|
| Vendor Number (3____ for AP and 00___ for AR) |
328353
|
| Vendor Contact Name |
Umi Fangyu Hsu
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
One City One Pride Grant Review Panel
|
| Contract / Amendment Amount |
$100.00
|
| 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 |
Umi ContractAuthorization.pdf
|
| Upload Agreement or Amendment |
Umi Honorarium.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
certificate (4).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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|
Supplemental Risk Information
General Liability Details
| Waived |
None required - honorarium
|
Automobile Policy Details
| Waived |
None required - honorarium
|
Workers Comp Policy Details
| Waived |
None required - honorarium
|
