Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Miguel Andrisani
|
| Vendor Number (3____ for AP and 00___ for AR) |
327317
|
| Vendor Contact Name |
Miguel Andrisani
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Design series of digital pieces of original artwork for City of West Hollywood’s 2020 General Municipal Election education campaign.
|
| Contract / Amendment Amount |
$5,000.00
|
| 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 |
Miguel+Andrisani+-+Authorization+SIGNED+SUMMARY.pdf, Miguel+Andrisani+-+Authorization+SIGNED.pdf
|
| Upload Agreement or Amendment |
REVISED - Miguel Andrisani.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Miguel+Andrisani+-+Revised+SIGNED+SUMMARY.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
Miguel+Andrisani+-+Exhibt+C+Authorization+Memo.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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| Add name of RFP / RFQ / RFB, if issued |
N/A
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| - or add weblink to RFP / RFQ / RFB, if issued |
N/A
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Supplemental Risk Information
General Liability Details
Automobile Policy Details
Workers Comp Policy Details
| Endorsements |
Exempt
|
| Waived |
Exhibit B
|
