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 |
Susan Richan
|
Vendor Contact Email |
[email protected]
|
Contract / Amendment Title |
MOU for Prop A Incentive Grant Program (Dial A Ride)
|
Contract / Amendment Amount |
$1.00
|
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
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
|