Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Israeli-American Civic Education Institute
|
| Vendor Number (3____ for AP and 00___ for AR) |
329959
|
| Vendor Contact Name |
Dillon Hosier
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Co-sponsorship
|
| 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 |
CAF SIGNED - Co-Sponsorship of Israeli American Civic Education Insititute.pdf
|
| Upload Agreement or Amendment |
Attachment A - Israeli American Civic Education Institute Co-Sponsorship Agreement.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
certificate (4).pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
CONGR-2 - Primary-Noncontributory End.pdf, CONGR-2 - Proof of Insurance - City of West Hollywood.pdf, Insurance Policy Documents.pdf, Venue Package.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.) |
Meister_CoSponsorship of Combating Antisemitism Seminar.docx
|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
08/25/2022
|
| Policy Expiration Date |
08/26/2022
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
Workers Comp Policy Details
