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Sep 02, 2020
submission #369
Enter Basic Contract Information

Administrative Information

Contract Manager Name (City Staff) Gloria Dimas
Contract Manager Email ([email protected]) [email protected]
Administrator completing this workflow, if different (City staff) Susana Salazar
Administrator email ([email protected]) [email protected]
Department 06 - FRS
Division 51 - Recreation Services

Basic Contract Details

Vendor Name Yorba Linda Feed Store Inc.
Vendor Number (3____ for AP and 00___ for AR) 328489
Vendor Contact Name Gary Gallegos
Vendor Contact Email [email protected]
Contract / Amendment Title Youth Halloween Event - Hay bales and props supplier
Contract / Amendment Amount $928.81
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 Yorba Linda Feed Contract Authorization Form - Signed.pdf
Upload Agreement or Amendment Yorba_Linda_Feed_Contract-Vendor_Director_Signed.pdf
Upload Docusign "Certificate(s) of Completion" Summary.pdf
Upload Insurance Documents (COI, Endorsements, WOS, etc.) Yorba_Linda_Feed_-_Proof_of_Insurance.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 05/13/20
Policy Expiration Date 05/13/21
Policy Amount $1,000,000.00
Endorsements PNC, AI

Automobile Policy Details

Effective Date 05/13/20
Expiration Date 05/13/21
Policy Amount $1,000,000.00

Workers Comp Policy Details

Effective Date 05/13/20
Expiration Date 05/13/21
Policy Amount $1,000,000.00
Endorsements WOS