Contract Review Process
Mar 10, 2022
submission
#1404
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 | The State of California, Department of Justice |
| Vendor Number (3____ for AP and 00___ for AR) | 002934 |
| Vendor Contact Name | Zahra Barragan |
| Vendor Contact Email | [email protected] |
| Contract / Amendment Title | Tobacco Grant Prop 56 MOU |
| Contract / Amendment Amount | $30,000.00 |
| Is this a new agreement or an amendment to an existing agreement? | New Agreement |
| Supplemental Insurance (for Risk team only) | --- |
Upload Contract Documents
Upload Documents
| Upload Contract or Amendment Authorization Form | DOJ_Tobacco_Grant_Authorization_Form (Signed).pdf |
| Upload Agreement or Amendment | WEHO Public Safety Dept.,City of. - MOU Fully Executed.pdf |
| Upload Docusign "Certificate(s) of Completion" | DOJ_Tobacco_Grant_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") | --- |
Supplemental Risk Information
General Liability Details
| Waived | no insurance required |
Automobile Policy Details
| Endorsements | no insurance required |
Workers Comp Policy Details
| Waived | no insurance required |