Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
High-Speed Tac Med, LLC
|
| Vendor Number (3____ for AP and 00___ for AR) |
328389
|
| Vendor Contact Name |
Erik Franco
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Active Shooter Training Sessions for Staff
|
| Contract / Amendment Amount |
$23,906.00
|
| Is this a new agreement or an amendment to an existing agreement? |
New Agreement
|
| If this is if a Contract Amendment, what is the Contract Number? |
|
| Supplemental Insurance (for Risk team only) |
---
|
Upload Contract Documents
Upload Documents
| Upload Contract or Amendment Authorization Form |
High_Speed_Tac__Med_EdenContractAuthorizationForm-v3-03.18.21.pdf
|
| Upload Agreement or Amendment |
High_Speed_Tac_Med_Basic_Contract_v2_Final.docx.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Summary.pdf, Summary 1.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
COI - High Speed Tac-Med (City of West Hollywood) 22-23.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") |
---
|
| Upload approval for contract template changes (e.g., email from Finance or City Attorney) |
---
|
| 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
Upload Additional Insurance Files Here
General Liability Details
| Policy Effective Date |
01/17/2022
|
| Policy Expiration Date |
01/17/2023
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
01/14/2022
|
| Expiration Date |
047/14/2022
|
| Policy Amount |
$300,000.00
|
Workers Comp Policy Details
Professional Liability Policy Details
| Effective Date |
01/17/2022
|
| Expiration Date |
01/17/2023
|
| Policy Amount |
$1,000,000.00
|
