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
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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) |
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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") |
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| Describe changes to Contract Template, if any (If none, type "None required") |
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| Add any notes you may have for Finance and Risk Review teams. |
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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
|