Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
MYDATT SERVICES INC
|
| Vendor Number (3____ for AP and 00___ for AR) |
322774
|
| Vendor Contact Name |
Blair McBride
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
To cover the costs of providing additional services.
|
| Contract / Amendment Amount |
$140,000.00
|
| 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? |
#010152
|
| Supplemental Insurance (for Risk team only) |
---
|
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Supplemental Risk Information
General Liability Details
| Policy Effective Date |
04/01/2021
|
| Policy Expiration Date |
04/01/2022
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
04/01/2021
|
| Expiration Date |
04/01/2022
|
| Policy Amount |
$2,000,000.00
|
Workers Comp Policy Details
| Effective Date |
08/31/2021
|
| Expiration Date |
04/01/2022
|
| Policy Amount |
$1,000,000.00
|
| Waived |
WOS pending
|
Other Policy Details
| Other Policy Name 1 |
Umbrella Liability
|
| Effective Date 1 |
04/01/2021
|
| Expiration Date 1 |
04/01/2022
|
| Policy Amount 1 |
$5,000,000.00
|
