Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Premier Partnerships
|
| Vendor Number (3____ for AP and 00___ for AR) |
320074
|
| Vendor Contact Name |
Randy Bernstein
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Professional Services Contract Over $25K
|
| Contract / Amendment Amount |
$27,500.00
|
| 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 |
EdenContractAuthorizationForm_Fillable.pdf
|
| Upload Agreement or Amendment |
Contract_ProfLiab_Over25K_COVID19_v2. (Competed) 1.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
Premier Partners Certificate of Insurance.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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|
| Add name of RFP / RFQ / RFB, if issued |
|
| Upload other supporting documents here, if necessary (e.g. staff reports, etc.) |
ProcurementMemo_2021 Premier.docx, NonCompliancePurchasing (To Include with Check Requests).docx
|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
07/06/2021
|
| Policy Expiration Date |
07/06/2022
|
| Policy Amount |
$2,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
07/06/2021
|
| Expiration Date |
7/06/2022
|
| Policy Amount |
$2,000,000.00
|
Workers Comp Policy Details
| Effective Date |
07/06/2021
|
| Expiration Date |
07/06/2022
|
| Endorsements |
WOS
|
