Contract Review Process
Aug 24, 2022
submission
#1757
Enter Basic Contract Information
Administrative Information
Contract Manager Name (City Staff) | West Hollywood |
Contract Manager Email ([email protected]) | [email protected] |
Department | 04 - CSD |
Division | 51 - Recreation Services |
Basic Contract Details
Vendor Name | Youth Evolution Activities |
Vendor Number (3____ for AP and 00___ for AR) | 3329973 |
Vendor Contact Name | Youth Evolution Activities |
Vendor Contact Email | [email protected] |
Contract / Amendment Title | Contract Instructor Agreement |
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 | EdenContractAuthorizationForm-YouthEvolutionActivities_2022_23.pdf |
Upload Agreement or Amendment | Individual_Instructor_Youth_Evolution_Activities_City_of_West_Hollywood_Agreement_2022-23.docx.pdf |
Upload Docusign "Certificate(s) of Completion" | Summary.pdf, Summary_contract instructor signatures.pdf |
Upload Insurance Documents (COI, Endorsements, WOS, etc.) | West_Hollywood_Insurance_Documents_Youth_Evolution_.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 | 09/01/2021 |
Policy Expiration Date | 09/01/2022 |
Policy Amount | $1,000,000.00 |
Endorsements | PNC, AI, WOS |
Automobile Policy Details
Effective Date | 09/01/2021 |
Expiration Date | 09/01/2022 |
Policy Amount | $1,000,000.00 |
Workers Comp Policy Details
Effective Date | 11/8/2021 |
Expiration Date | 11/8/2022 |
Policy Amount | $1,000,000.00 |
Endorsements | WOS |