Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Keyser Marston Associates, Inc.
|
| Vendor Number (3____ for AP and 00___ for AR) |
306731
|
| Vendor Contact Name |
Tim Bretz
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Proforma and Economic Analysis, as needed
|
| Contract / Amendment Amount |
$25,000.00
|
| 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 |
ContractAuthorization_KMA_signed.pdf
|
| Upload Agreement or Amendment |
Amended KMA Contract_ProfLiab_Over25K.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
City of West Hollywood COI.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.) |
City of West Hollywood Workers Comp COI.pdf, City of West Hollywood WOS.pdf
|
Supplemental Risk Information
Upload Additional Insurance Files Here
General Liability Details
| Policy Effective Date |
12/01/2021
|
| Policy Expiration Date |
12/1/2022
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
12/1/2021
|
| Expiration Date |
12/1/2022
|
| Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
| Effective Date |
07/10/2022
|
| Expiration Date |
07/01/2023
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
WOS
|
| Waived |
ADP does not provide endorsement
|
Professional Liability Policy Details
| Effective Date |
12/1/2021
|
| Expiration Date |
12/1/2022
|
| Policy Amount |
$1,000,000.00
|
