Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
AT&T
|
| Vendor Number (3____ for AP and 00___ for AR) |
311988
|
| Vendor Contact Name |
Katelyn Hyde
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Wireless Communication Facilities
|
| Contract / Amendment Amount |
$1,475.00
|
| Is this a new agreement or an amendment to an existing agreement? |
Amendment
|
| Supplemental Insurance (for Risk team only) |
---
|
Upload Contract Documents
Upload Documents
| Upload Contract or Amendment Authorization Form |
WCF ATT Contract Amendment Authorization Form.pdf
|
| Upload Agreement or Amendment |
WCF SLA AT&T .docx
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
Pole _8 - Exhibit 8E - WHLWD_034 - COI.pdf, Pole _2 - Exhibit 8F - WHLWD_032 - COI.pdf, Pole _1 - Exhibit 8F - WHLWD_014 - COI.pdf, WHLW6_014 - Exhibit 8E - COI.pdf, WHLW7_001 - Exhibit 8E - COI.pdf
|
| Describe changes to Insurance Requirements, if any (if no insurance is required, type "None required") |
---
|
| Upload approval for insurance changes, if any (e.g., email from Risk) |
---
|
| Describe changes to Contract Template, if any (If none, type "None required") |
---
|
| Add name of RFP / RFQ / RFB, if issued |
|
Supplemental Risk Information
Upload Additional Insurance Files Here
General Liability Details
| Policy Effective Date |
06/01/2021
|
| Policy Expiration Date |
06/01/2022
|
| Policy Amount |
$3,000,000.00
|
| Waived |
endorsements missing
|
Automobile Policy Details
| Effective Date |
06/01/2021
|
| Expiration Date |
06/01/2022
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
policy endorsements missing
|
Workers Comp Policy Details
| Effective Date |
06/01/2021
|
| Expiration Date |
06/01/2022
|
| Policy Amount |
$1,000,000.00
|
| Waived |
policy endorsements missing
|
