Enter Basic Contract Information
Administrative Information
Contract Manager Name (City Staff) |
Rebecca Ehemann
|
Contract Manager Email ([email protected]) |
[email protected]
|
Administrator completing this workflow, if different (City staff) |
|
Department |
09 - COM
|
Division |
12 - Arts
|
Basic Contract Details
Vendor Name |
Wallspace LLC
|
Vendor Number (3____ for AP and 00___ for AR) |
328864
|
Vendor Contact Name |
Valda Lake
|
Vendor Contact Email |
[email protected]
|
Contract / Amendment Title |
Temporary Art Installation - neon artworks
|
Contract / Amendment Amount |
$2,500.00
|
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? |
9383
|
Supplemental Insurance (for Risk team only) |
---
|
Upload Contract Documents
Upload Documents
Upload Contract or Amendment Authorization Form |
EdenContractAmendmentAuthorization_Wallspace_Amendment_1 v2.pdf
|
Upload Agreement or Amendment |
Wallspace_Amendment_1_v2.pdf
|
Upload Docusign "Certificate(s) of Completion" |
Summary.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
|
Supplemental Risk Information
General Liability Details
Policy Effective Date |
01/20/2021
|
Policy Expiration Date |
01/20/2022
|
Policy Amount |
$100,000.00
|
Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
Effective Date |
01/20/21
|
Expiration Date |
01/20/22
|
Workers Comp Policy Details