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Aug 08, 2022
submission #1734
Enter Basic Contract Information

Administrative Information

Contract Manager Name (City Staff) Vince Guarino
Contract Manager Email ([email protected]) [email protected]
Administrator completing this workflow, if different (City staff) Bill Bortfeld
Administrator email ([email protected]) [email protected]
Department 08 - DPW
Division 82 - Parking Services

Basic Contract Details

Vendor Name Hollywood Tow Service, Inc.
Vendor Number (3____ for AP and 00___ for AR) 320390
Vendor Contact Name santiago Tejada
Vendor Contact Email [email protected]
Contract / Amendment Title Amendment No. 1
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? 009419
Supplemental Insurance (for Risk team only) ---
Upload Contract Documents

Upload Documents

Upload Contract or Amendment Authorization Form Hollywood_Tow_Amend_Auth_Form VG SC.pdf
Upload Agreement or Amendment Hollywood_Tow_Amendment_1 SC GM.pdf
Upload Docusign "Certificate(s) of Completion" Summary - Hollywood Tow Amendment 1.pdf
Upload Insurance Documents (COI, Endorsements, WOS, etc.) Hollywood Tow COI 0822.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") ---
Supplemental Risk Information

Upload Additional Insurance Files Here

Additional Insurance File(s) Hollywood Tow COI endorsements.pdf

General Liability Details

Policy Effective Date 09/01/2021
Policy Expiration Date 09/01/2022
Policy Amount $1,000,000.00
Endorsements PNC, AI, WOS

Automobile Policy Details

Effective Date 09/01/2021
Expiration Date 09/01/2022
Policy Amount $1,000,000.00

Workers Comp Policy Details

Effective Date 04/01/2022
Expiration Date 04/01/2023
Policy Amount $1,000,000.00
Endorsements WOS