Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
FastSigns
|
| Vendor Number (3____ for AP and 00___ for AR) |
325116
|
| Vendor Contact Name |
David Haroonian
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Cityline Sign Installation Project
|
| Contract / Amendment Amount |
$600.00
|
| 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 |
FastSigns_Contract_Authorization_Sheet-2.pdf
|
| Upload Agreement or Amendment |
FastSigns_Draft_Agreement-2.docx.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
WC Waiver - 2022.pdf, GL AI PNC WOS MCBOP 0512 Policy _.pdf, COI - CITY OF WEST HOLLYWOOD.pdf, Auto Endt.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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|
Supplemental Risk Information
Upload Additional Insurance Files Here
General Liability Details
| Policy Effective Date |
08/17/2022
|
| Policy Expiration Date |
08/17/2023
|
| Policy Amount |
$2,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
08/17/2022
|
| Expiration Date |
08/17/2023
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
NAMED INSURED
|
Workers Comp Policy Details
| Effective Date |
07/06/2022
|
| Expiration Date |
07/06/2022
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
WOS
|
