Contract Review Process
Jun 21, 2022
submission
#1628
Enter Basic Contract Information
Administrative Information
Contract Manager Name (City Staff) | Danny Rivas |
Contract Manager Email ([email protected]) | [email protected] |
Administrator completing this workflow, if different (City staff) | Jessica Anukam |
Administrator email ([email protected]) | [email protected] |
Department | 04 - PSD |
Division | 18 - Public Safety Administration |
Basic Contract Details
Vendor Name | Los Angeles County. Dept of Health Services - Medical Alert Center (MAC) |
Vendor Number (3____ for AP and 00___ for AR) | 309214 |
Vendor Contact Name | Richard Jurado |
Vendor Contact Email | [email protected] |
Contract / Amendment Title | MOU for Medical Alert Center Services to be provided by the Emergency Medical Services Agency of The County of Los Angeles to the City of West Hollywood for the 2022 WeHo Music Festival |
Contract / Amendment Amount | $8,136.00 |
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 | Medical_Alert_Center_Contract_Authorization_Form (Signed).pdf |
Upload Agreement or Amendment | MAC_MOU - WEHO Pride 2022.pdf |
Upload Docusign "Certificate(s) of Completion" | MAC_ 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") | --- |