Contract Review Process
Mar 08, 2022
submission
#1403
Enter Basic Contract Information
Administrative Information
| Contract Manager Name (City Staff) | Kristin Cook |
| Contract Manager Email ([email protected]) | [email protected] |
| Administrator completing this workflow, if different (City staff) | Jessica Anukam |
| Administrator email ([email protected]) | [email protected] |
| Department | 01 - CMD |
| Division | 18 - Public Safety Administration |
Basic Contract Details
| Vendor Name | Los Angeles LGBT Center |
| Vendor Number (3____ for AP and 00___ for AR) | 323911 |
| Vendor Contact Name | Ricardo DeLeon |
| Vendor Contact Email | [email protected] |
| Contract / Amendment Title | Amendment 4 |
| Contract / Amendment Amount | $14,045.50 |
| 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? | 009046 |
| Supplemental Insurance (for Risk team only) | --- |
Upload Contract Documents
Upload Documents
| Upload Contract or Amendment Authorization Form | Amendment_Authorization_LA_LGBT_Center (Signed).pdf |
| Upload Agreement or Amendment | Amendment_No4_LA_LGBT_Center (Signed).pdf |
| Upload Docusign "Certificate(s) of Completion" | LA LGBT Amendment Summary.pdf, LA LGBT Authorization 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. | --- |
| Upload other supporting documents here, if necessary (e.g. staff reports, etc.) | Staff Report - Consent Calendar - LA LGBT Center.docx |
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 | $100,000.00 |
Workers Comp Policy Details
| Effective Date | 04/01/2021 |
| Expiration Date | 04/01/2022 |
| Policy Amount | $1,000,000.00 |
| Endorsements | WOS |