Enter Basic Contract Information
Administrative Information
| Contract Manager Name (City Staff) |
Francisco Gomez
|
| Contract Manager Email ([email protected]) |
[email protected]
|
| Administrator completing this workflow, if different (City staff) |
|
| Department |
05 - HSRS
|
| Division |
53 - Social Services
|
Basic Contract Details
| Vendor Name |
LACMTA
|
| Vendor Number (3____ for AP and 00___ for AR) |
001799
|
| Vendor Contact Name |
LACMTA
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
MOU for Prop A Incentive Grant Program (Cityline)
|
| Contract / Amendment Amount |
$100.00
|
| 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 |
1821.pdf
|
| Upload Agreement or Amendment |
Attachment B--Cityline Reporting MOU.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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|
Supplemental Risk Information
General Liability Details
| Waived |
NO INS REQ'D FOR MOU
|
Automobile Policy Details
| Endorsements |
NO INS REQ'D FOR MOU
|
Workers Comp Policy Details
| Waived |
NO INS REQ'D FOR MOU
|
