Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Wordsville
|
| Vendor Number (3____ for AP and 00___ for AR) |
315259
|
| Vendor Contact Name |
Delaune Michael
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Year 2 Grant Award
|
| Contract / Amendment Amount |
$0.00
|
| 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? |
10074
|
| Supplemental Insurance (for Risk team only) |
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Upload Contract Documents
Upload Documents
| Upload Contract or Amendment Authorization Form |
Wordsville_Amend_Auth.pdf
|
| Upload Agreement or Amendment |
Amendment_Arts_Grant_Program_2020_final_Wordsville_2022.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Summary.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 any notes you may have for Finance and Risk Review teams. |
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Supplemental Risk Information
General Liability Details
Automobile Policy Details
| Endorsements |
No ins req'd
|
Workers Comp Policy Details
