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Aug 19, 2022
submission #1749
Enter Basic Contract Information

Administrative Information

Contract Manager Name (City Staff) Walter Davis
Contract Manager Email ([email protected]) [email protected]
Administrator completing this workflow, if different (City staff) Erin Hamant
Administrator email ([email protected]) [email protected]
Department 08 - DPW
Division 84 - Engineering

Basic Contract Details

Vendor Name LOS ANGELES SMSA LIMITED PARTNERSHIP DBA VERIZON WIRELESS
Vendor Number (3____ for AP and 00___ for AR) 003045
Vendor Contact Name Daisy M. Uy Kimpang
Vendor Contact Email [email protected]
Contract / Amendment Title SUPPLEMENT NO. 4 - MUNICIPAL FACILITY LICENSE AGREEMENT FOR WIRELESS FACILITIES ATTACHING TO CITY INFRASTRUCTURE IN THE PUBLIC RIGHT OF WAY
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? 009521
Supplemental Insurance (for Risk team only) ---
Upload Contract Documents

Upload Documents

Upload Contract or Amendment Authorization Form Amendment_No4Coversheet.docx.pdf
Upload Agreement or Amendment Verizon Wireless Amendment No4.docx
Upload Docusign "Certificate(s) of Completion" Summary.pdf
Upload Insurance Documents (COI, Endorsements, WOS, etc.) Insurance Verizon Wireless.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

General Liability Details

Policy Effective Date 06/30/2022
Policy Expiration Date 06/30/2023
Policy Amount $4,000,000.00
Endorsements PNC, AI, WOS

Automobile Policy Details

Effective Date 06/30/2022
Expiration Date 06/30/2023
Policy Amount $2,000,000.00

Workers Comp Policy Details

Effective Date 06/30/2022
Expiration Date 06/30/2023
Policy Amount $1,000,000.00
Endorsements WOS