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Sep 21, 2021
submission #1113
Enter Basic Contract Information

Administrative Information

Contract Manager Name (City Staff) Sharon Jackson
Contract Manager Email ([email protected]) [email protected]
Department 09 - COM
Division 92 - Digital Media

Basic Contract Details

Vendor Name DocuSign Inc
Vendor Number (3____ for AP and 00___ for AR) 322593
Vendor Contact Name Arthur Warner-Kamsler
Vendor Contact Email [email protected]
Contract / Amendment Title DocuSign Electronic Signature License - Yvette Sotelo
Contract / Amendment Amount $1,300.65
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? 010239
Supplemental Insurance (for Risk team only) ---
Upload Contract Documents

Upload Documents

Upload Contract or Amendment Authorization Form DocuSign - Contract Amendment Authorization SIGNED SUMMARY.pdf, DocuSign - Contract Amendment Authorization SIGNED.pdf
Upload Agreement or Amendment DocuSign - Amend _1.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. ---
Add name of RFP / RFQ / RFB, if issued N/A
- or add weblink to RFP / RFQ / RFB, if issued N/A
Supplemental Risk Information

General Liability Details

Policy Effective Date 04/27/2021
Policy Expiration Date 04/27/2022
Policy Amount $1,000,000.00
Endorsements PNC, AI, WOS
Waived

Automobile Policy Details

Effective Date 04/27/2021
Expiration Date 04/27/2022
Policy Amount $1,000,000.00

Workers Comp Policy Details

Effective Date 04/27/2021
Expiration Date 04/27/2022
Policy Amount $1,000,000.00
Endorsements WOS