Enter Basic Contract Information
Administrative Information
Contract Manager Name (City Staff) |
Moya Marquez
|
Contract Manager Email ([email protected]) |
[email protected]
|
Administrator completing this workflow, if different (City staff) |
|
Department |
01 - CMD
|
Division |
15 - Community & Legislative Affairs
|
Basic Contract Details
Vendor Name |
Nami West Side LA
|
Vendor Number (3____ for AP and 00___ for AR) |
329788
|
Vendor Contact Name |
Erin Raftery
|
Vendor Contact Email |
[email protected]
|
Contract / Amendment Title |
NAMI Mental Health Virtual Listening Session & Town Hall
|
Contract / Amendment Amount |
$0.00
|
Is this a new agreement or an amendment to an existing agreement? |
New Agreement
|
Supplemental Insurance (for Risk team only) |
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|
Upload Contract Documents
Upload Documents
Supplemental Risk Information
General Liability Details
Waived |
no insurance required
|
Automobile Policy Details
Endorsements |
no insurance required
|
Workers Comp Policy Details