Enter Basic Contract Information
Administrative Information
| Contract Manager Name (City Staff) |
Jesus Heredia
|
| Contract Manager Email ([email protected]) |
[email protected]
|
| Administrator completing this workflow, if different (City staff) |
|
| Department |
07 - PDS
|
| Division |
52 - Event Services
|
Basic Contract Details
| Vendor Name |
AIDS/LIFECYCLE
|
| Vendor Number (3____ for AP and 00___ for AR) |
317238
|
| Vendor Contact Name |
Kevin Rogers
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Event Co-Sponsorship Agreement
|
| 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
| Upload Contract or Amendment Authorization Form |
EdenContractAuthorizationForm-AIDS_LifeCycle_2022.pdf
|
| Upload Agreement or Amendment |
Co-Sponsorship_Agreement_2022_AIDS_LifeCycle_(JH_3-29-2022).docx.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Summary-B.pdf, Summary-A.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
ALC 2022 - City of West Hollywood COI.pdf
|
| Describe changes to Insurance Requirements, if any (if no insurance is required, type "None required") |
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|
| Describe changes to Contract Template, if any (If none, type "None required") |
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|
| Upload other supporting documents here, if necessary (e.g. staff reports, etc.) |
DAmico_Co-Sponsorship of AIDS LifeCycle 2022.docx
|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
10/30/2021
|
| Policy Expiration Date |
10/31/2022
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI
|
Automobile Policy Details
| Effective Date |
10/31/2021
|
| Expiration Date |
10/31/2022
|
| Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
Other Policy Details
| Other Policy Name 1 |
ADD
|
| Effective Date 1 |
10/31/2021
|
| Expiration Date 1 |
10/31/2022
|
| Policy Amount 1 |
$250,000.00
|
