Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Plan X Inc. / DBA Mother Lode
|
| Vendor Number (3____ for AP and 00___ for AR) |
329982
|
| Vendor Contact Name |
Robert Yacoubian, General Manager
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
West Hollywood Park North Alley Trash Enclosure License Fees
|
| 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 |
Plan X Contract Authorization Form.pdf
|
| Upload Agreement or Amendment |
07.28.2022_MOTHER_LODE_FINAL_WeHo_Park_Trash_Enclosure_License_Agreement.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Summary.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
1 of 5_Mother Lode COI.PDF, 5 of 5_Mother Lode COI.PDF, 4 of 5_Mother Lode COI.pdf, 3 of 5_Mother Lode COI.pdf, 2 of 5_Mother Lode COI.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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| Add any notes you may have for Finance and Risk Review teams. |
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|
| Add name of RFP / RFQ / RFB, if issued |
None Required
|
| Upload other supporting documents here, if necessary (e.g. staff reports, etc.) |
Staff Report LICENSE AGREEMENT FOR USE OF CITY TRASH ENCLOSURE.pdf
|
Supplemental Risk Information
Upload Additional Insurance Files Here
General Liability Details
| Policy Effective Date |
07/31/2022
|
| Policy Expiration Date |
07/31/2023
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Endorsements |
COVERAGE NOT REQUIRED
|
Workers Comp Policy Details
| Effective Date |
08/01/2022
|
| Expiration Date |
08/01/2023
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
WOS
|
