Enter Basic Contract Information
Administrative Information
| Contract Manager Name (City Staff) |
Kevin Devine
|
| Contract Manager Email ([email protected]) |
[email protected]
|
| Department |
04 - PSD
|
| Division |
18 - Public Safety Administration
|
Basic Contract Details
| Vendor Name |
Gov OS INC.
|
| Vendor Number (3____ for AP and 00___ for AR) |
329484
|
| Vendor Contact Name |
Paul Richeson
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Provide Platform for Online Forms
|
| Contract / Amendment Amount |
$541.66
|
| 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? |
010238
|
| Supplemental Insurance (for Risk team only) |
---
|
Upload Contract Documents
Upload Documents
| Upload Contract or Amendment Authorization Form |
LOA Form_EdenContractAmendmentAuthorization Form.pdf
|
| Upload Agreement or Amendment |
GovOS-Amendment1_LOA.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 name of RFP / RFQ / RFB, if issued |
|
Supplemental Risk Information
General Liability Details
| Waived |
no insurance is required for the purchase of two LOA licenses
|
Automobile Policy Details
| Endorsements |
no insurance is required for the purchase of two LOA licenses
|
Workers Comp Policy Details
| Waived |
no insurance is required for the purchase of two LOA licenses
|
