Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Bounce LLC
|
| Vendor Number (3____ for AP and 00___ for AR) |
329960
|
| Vendor Contact Name |
Louisa Barnett
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Contract Instructor Agreement
|
| Contract / Amendment Amount |
$75,000.00
|
| 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 |
BounceLLC_EdenContractAuthorizationForm2022_2023.pdf
|
| Upload Agreement or Amendment |
Bounce_LLC_City_of_West_Hollywood_Agreement_for_Contract_Instructor_2022-2023.docx.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Summary.pdf, Summary.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
Bounce Workers Comp Certificate_EIG495255700_2338820 (1).pdf, CertLiab - City of West Hollywood_BounceLLC.pdf, PolicyCenter (1).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
General Liability Details
| Policy Effective Date |
06/17/2022
|
| Policy Expiration Date |
06/17/2023
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
|
| Waived |
CGL includes Prof liab & SA/Molestation coverage sublimit AI is pending issuance
|
Automobile Policy Details
| Effective Date |
02/02/2022
|
| Expiration Date |
02/02/2023
|
| Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
| Effective Date |
02/24/2022
|
| Expiration Date |
02/24/2023
|
| Policy Amount |
$1,000,000.00
|
| Waived |
waived WOS endorsement
|
Other Policy Details
| Other Policy Name 1 |
Participant Accident
|
| Effective Date 1 |
06/17/2022
|
| Expiration Date 1 |
06/17/2023
|
| Policy Amount 1 |
$25,000.00
|