Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
CICLAVIA
|
| Vendor Number (3____ for AP and 00___ for AR) |
328265
|
| Vendor Contact Name |
Romel Pascual
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Event Producer Agreement Between The City of West Hollywood and CicLAvia
|
| Contract / Amendment Amount |
$200,000.00
|
| Is this a new agreement or an amendment to an existing agreement? |
New Agreement
|
| Supplemental Insurance (for Risk team only) |
---
|
Upload Contract Documents
Upload Documents
| Upload Contract or Amendment Authorization Form |
Contract Authorization - CicLAvia 2022.pdf
|
| Upload Agreement or Amendment |
Agreement - CicLAvia 2022.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
DocuSign Certificate Summary - CicLAvia 2022.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
Work Comp WOS.pdf, GL WOS PNC AI.pdf, Excess Liability Binder.pdf, Auto PNC WOS AI.pdf, West Hollywood Certificate.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") |
---
|
| Upload other supporting documents here, if necessary (e.g. staff reports, etc.) |
UPDATE ON CICLAVIA 2022 AND AGREEMENT FOR SERVICES.pdf, HOST A CICLAVIA OPEN STREETS EVENT IN WEST HOLLYWOOD IN PARTNERSHIP WITH THE CITY OF LOS ANGELES.pdf
|
Supplemental Risk Information
Upload Additional Insurance Files Here
General Liability Details
| Policy Effective Date |
08/18/2022
|
| Policy Expiration Date |
08/22/2022
|
| Policy Amount |
$1,000,000.00
|
| Waived |
ALL ENDORSEMENTS ARE PENDING; COI IS DRAFT FORM ONLY
|
Automobile Policy Details
| Effective Date |
04/01/2022
|
| Expiration Date |
04/01/2023
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
ALL ENDORSEMENTS ARE PENDING
|
Workers Comp Policy Details
| Effective Date |
04/01/2022
|
| Expiration Date |
04/01/2023
|
| Policy Amount |
$1,000,000.00
|
| Waived |
ALL POLICY ENDORSEMENTS ARE PENDING
|
Other Policy Details
| Other Policy Name 1 |
UMBRELLA POLICY
|
| Effective Date 1 |
08/18/2022
|
| Expiration Date 1 |
08/22/2022
|
| Policy Amount 1 |
$4,000,000.00
|
| Endorsements 1 |
POLICY NUMBER MISSING; COI IS DRAFTED FORM ONLY
|
