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Sep 14, 2022
submission #1830
Enter Basic Contract Information

Administrative Information

Contract Manager Name (City Staff) Dana AlHaddad
Contract Manager Email ([email protected]) [email protected]
Department 06 - FRS*
Division 51 - Recreation Services

Basic Contract Details

Vendor Name Yorba Linda Feed Store Inc.
Vendor Number (3____ for AP and 00___ for AR) 328489
Vendor Contact Name Gary Gallegos
Vendor Contact Email [email protected]
Contract / Amendment Title Youth Halloween Carnival Equipment Rental
Contract / Amendment Amount $1,311.32
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 Contract_Authorization_Form-Yorba_Linda_Feed_Store_FINAL.pdf
Upload Agreement or Amendment Yorba_Linda_Feed_Store_Contract_-_FINAL.pdf
Upload Docusign "Certificate(s) of Completion" Summary1.pdf, Summary.pdf
Upload Insurance Documents (COI, Endorsements, WOS, etc.) Yorba Linda COI.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") ---
Add any notes you may have for Finance and Risk Review teams. ---
Add name of RFP / RFQ / RFB, if issued none
Supplemental Risk Information

General Liability Details

Policy Effective Date 05/13/2022
Policy Expiration Date 05/13/2023
Policy Amount $1,000,000.00
Endorsements PNC, AI, WOS

Automobile Policy Details

Effective Date 05/13/2022
Expiration Date 05/13/2023
Policy Amount $1,000,000.00

Workers Comp Policy Details

Effective Date 05/13/2022
Expiration Date 05/13/2023
Policy Amount $1,000,000.00
Endorsements WOS