Enter Basic Contract Information
Administrative Information
Contract Manager Name (City Staff) |
Helen Collins
|
Contract Manager Email ([email protected]) |
[email protected]
|
Department |
06 - FRS
|
Division |
55 - Facilities & Field Services
|
Basic Contract Details
Vendor Name |
Los Angeles County Registrar - Clerk
|
Vendor Number (3____ for AP and 00___ for AR) |
310332
|
Vendor Contact Name |
Caroline Kim
|
Vendor Contact Email |
[email protected]
|
Contract / Amendment Title |
VOTE CENTER FACILITY DROP BOX USE AGREEMENT (PUBLIC) - West Hollywood Park
|
Contract / Amendment Amount |
$0.00
|
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 |
PDF File.pdf
|
Upload Agreement or Amendment |
November 2020- 24-Hour Box Agreement - West Hollywood City Hall.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. |
---
|
Supplemental Risk Information
General Liability Details
Waived |
No insurance required
|
Automobile Policy Details
Waived |
No insurance required
|
Workers Comp Policy Details
Expiration Date |
No insurance required
|