Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Southern California Barricades
|
| Vendor Number (3____ for AP and 00___ for AR) |
301937
|
| Vendor Contact Name |
Jim Sprinkel
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
COVID-19 OutZones: K-Rail 12-month Rental, Installation and Removal
|
| Contract / Amendment Amount |
$74,900.00
|
| 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 |
Please_DocuSign_SCBarricades_CAF.pdf
|
| Upload Agreement or Amendment |
Please_DocuSign_SCBarricades_COVID19-v3.pdf, SCBarricades_COVID19-v2.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
certificate.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
OTH_20_BLNKT_AIs_31500_31500.PDF, CERT_City_of_West_Hollywood_31499_31499.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 RFP / RFQ / RFB file here, if issued |
BID+-+Concrete+K-Rail.docx
|
| Upload other supporting documents here, if necessary (e.g. staff reports, etc.) |
Staff+Report+-+Updates+to+the+Temporary+Outdoor+Expansion.docx, Staff+Report+-+Temporary+Outdoor+Expansion.docx
|
Supplemental Risk Information
Upload Additional Insurance Files Here
General Liability Details
| Policy Effective Date |
04/01/2020
|
| Policy Expiration Date |
04/01/2021
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
05/17/2020
|
| Expiration Date |
05/17/2021
|
| Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
| Effective Date |
04/01/2020
|
| Expiration Date |
04/01/2021
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
WOS
|
Other Policy Details
| Other Policy Name 1 |
Umbrella Liability
|
| Effective Date 1 |
04/01/2020
|
| Expiration Date 1 |
04/01/2021
|
| Policy Amount 1 |
$1,000,000.00
|
