Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Ultrasystems Environmental, Inc.
|
| Vendor Number (3____ for AP and 00___ for AR) |
318177
|
| Vendor Contact Name |
Betsy Lindsay
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
9160-9176 Sunset Blvd Environmental Impact Report
|
| Contract / Amendment Amount |
$263,800.00
|
| 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 |
UEI_9160-9176_Sunset_Authorization_Form.pdf
|
| Upload Agreement or Amendment |
UEI_9160-9176_Sunset_Contract.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Summary_UEI.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
City of West Hollywood.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 |
On- Call CEQA Review Services
|
| Upload RFP / RFQ / RFB file here, if issued |
RFQ CEQA Consultant.pdf
|
| Upload other supporting documents here, if necessary (e.g. staff reports, etc.) |
M19-0046_9160 SUNSET BLVD-Receipts.pdf
|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
11/10/19
|
| Policy Expiration Date |
11/10/20
|
| Policy Amount |
$5,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
11/10/19
|
| Expiration Date |
11/10/20
|
| Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
| Effective Date |
09/01/20
|
| Expiration Date |
09/01/21
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
WOS
|
Professional Liability Policy Details
| Effective Date |
11/10/19
|
| Expiration Date |
11/10/20
|
| Policy Amount |
$500,000.00
|
