Enter Basic Contract Information
Administrative Information
| Contract Manager Name (City Staff) |
Jasmine Duckworth
|
| Contract Manager Email ([email protected]) |
[email protected]
|
| Department |
04 - CSD
|
| Division |
15 - Community & Legislative Affairs
|
Basic Contract Details
| Vendor Name |
RAHA International
|
| Vendor Number (3____ for AP and 00___ for AR) |
330063
|
| Vendor Contact Name |
Shervin Khorramian
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
I-ran out of the Closet - the Change Makers Edition Co-Sponsored Event
|
| Contract / Amendment Amount |
$1,000.00
|
| 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 |
Contract_Authorization_Form_-_RAHA_Intl.pdf
|
| Upload Agreement or Amendment |
RAHA Intl - Co-Sponsorship Agreement.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Summary.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
COI City of West Hollywood.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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|
| Add name of RFP / RFQ / RFB, if issued |
|
| Upload other supporting documents here, if necessary (e.g. staff reports, etc.) |
RAHA Intl - Staff Report.pdf
|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
10/22/2022
|
| Policy Expiration Date |
10/22/2022
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI
|
Automobile Policy Details
| Waived |
no ins req'd
|
| Endorsements |
no ins req'd
|
Workers Comp Policy Details
Professional Liability Policy Details
