Contract Review Process
May 10, 2022
submission
#1522
Enter Basic Contract Information
Administrative Information
| Contract Manager Name (City Staff) | Carlos Corrales |
| Contract Manager Email ([email protected]) | [email protected] |
| Administrator completing this workflow, if different (City staff) | Karen Bareng |
| Administrator email ([email protected]) | [email protected] |
| Department | 03 - FIN |
| Division | 33 - Accounting |
Basic Contract Details
| Vendor Name | Heartland Payment Systems Inc. |
| Vendor Number (3____ for AP and 00___ for AR) | 323593 |
| Vendor Contact Name | William Neal |
| Vendor Contact Email | [email protected] |
| Contract / Amendment Title | Merchant Services for VISA and Mastercard |
| Contract / Amendment Amount | $0.00 |
| 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? | 6832 |
| Supplemental Insurance (for Risk team only) | --- |
Upload Contract Documents
Upload Documents
| Upload Contract or Amendment Authorization Form | EdenContractAmendmentAuthorization-v3-2021-07-29.pdf |
| Upload Agreement or Amendment | City_of_West_Hollywood_-_Amendment_No._2_to_Agreement_for_Services_-_050322.pdf |
| Upload Docusign "Certificate(s) of Completion" | Summary.pdf |
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) | City of West Hollywood - Crime -5M.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. | --- |