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Aug 31, 2020
submission #356
Enter Basic Contract Information

Administrative Information

Contract Manager Name (City Staff) David Giugni
Contract Manager Email ([email protected]) [email protected]
Department 05 - HSRS
Division 53 - Social Services

Basic Contract Details

Vendor Name Planned Parenthood/LA
Vendor Number (3____ for AP and 00___ for AR) 326343
Vendor Contact Name Erica Moore
Vendor Contact Email [email protected]
Contract / Amendment Title 2020-21 Contract Renewal
Contract / Amendment Amount $85,973.00
Is this a new agreement or an amendment to an existing agreement? Amendment
If this is if a Contract Amendment, what is the Contract Number? 9610
Supplemental Insurance (for Risk team only) ---
Upload Contract Documents

Upload Documents

Upload Contract or Amendment Authorization Form planned_parenthood.pdf
Upload Agreement or Amendment Planned Parenthood.pdf
Upload Docusign "Certificate(s) of Completion" Summary.pdf
Upload Insurance Documents (COI, Endorsements, WOS, etc.) Planned AI WOS PNC.pdf, Planned Pro Liab.pdf, Planned COI.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") ---
Supplemental Risk Information

General Liability Details

Policy Effective Date 01/01/20
Policy Expiration Date 01/01/21
Policy Amount $1,000,000.00
Endorsements PNC, AI, WOS

Automobile Policy Details

Effective Date 07/01/20
Expiration Date 07/01/21
Policy Amount $1,000,000.00

Workers Comp Policy Details

Effective Date 01/01/20
Expiration Date 01/01/21
Policy Amount $1,000,000.00
Endorsements WOS

Professional Liability Policy Details

Effective Date 01/01/20
Expiration Date 01/01/21
Policy Amount $1,000,000.00