Enter Basic Contract Information
Administrative Information
| Contract Manager Name (City Staff) |
JESSICA ANUKAM
|
| Contract Manager Email ([email protected]) |
[email protected]
|
| Administrator completing this workflow, if different (City staff) |
|
| Department |
04 - CSD
|
| Division |
18 - Public Safety Administration
|
Basic Contract Details
| Vendor Name |
Los Angeles County Department of Mental Health
|
| Vendor Number (3____ for AP and 00___ for AR) |
309065
|
| Vendor Contact Name |
MICHAEL PRESTON
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Memorandum of Agreement
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| Contract / Amendment Amount |
$176,000.00
|
| Is this a new agreement or an amendment to an existing agreement? |
Amendment
|
| If this is if a Contract Amendment, what is the Contract Number? |
Contract # 8787 Amendment # 2
|
| Supplemental Insurance (for Risk team only) |
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|
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Supplemental Risk Information
General Liability Details
| Waived |
No ins docs required
|
Automobile Policy Details
| Endorsements |
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|
Workers Comp Policy Details
| Waived |
No ins docs required
|
