Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Richard Jones DBA Jones Mayer
|
| Vendor Number (3____ for AP and 00___ for AR) |
330051
|
| Vendor Contact Name |
Ginger Wilbert
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Administrative hearing officer services
|
| Contract / Amendment Amount |
$75,000.00
|
| 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
| Upload Contract or Amendment Authorization Form |
Richard Jones DBA Jones Mayer Authorization.pdf
|
| Upload Agreement or Amendment |
Richard Jones DBA Jones Mayer Agreement - FY23 hearing officer services.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Jones Mayer Authorization - DocuSign summary.pdf, Jones Mayer Agreement - FY23 hearing officer services - DocuSign summary.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
Jones & Mayer COI - General - exp. 7.17.23.pdf, Jones & Mayer COI - Professional - exp 1.22.23.pdf, Jones & Mayer workers comp COI exp. 4.1.23.pdf, Jones & Mayer WC WOS 4.1.22.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") |
---
|
| Upload approval for contract template changes (e.g., email from Finance or City Attorney) |
---
|
| Add name of RFP / RFQ / RFB, if issued |
Administrative hearing officer services
|
| - or add weblink to RFP / RFQ / RFB, if issued |
https://www.weho.org/home/showpublisheddocument/53339/637896707960870000
|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
07/17/2022
|
| Policy Expiration Date |
07/17/2023
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
07/17/2022
|
| Expiration Date |
07/17/2023
|
| Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
| Effective Date |
04/01/2022
|
| Expiration Date |
04/01/2023
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
WOS
|
Professional Liability Policy Details
| Effective Date |
01/22/2022
|
| Expiration Date |
01/22/2023
|
| Policy Amount |
$1,000,000.00
|
