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Sep 23, 2020
submission #389
Enter Basic Contract Information

Administrative Information

Contract Manager Name (City Staff) John Leonard
Contract Manager Email ([email protected]) [email protected]
Department 01 - CMD
Division 15 - Community & Legislative Affairs

Basic Contract Details

Vendor Name Fairbank Maslin Maullin Metz (FM3)
Vendor Number (3____ for AP and 00___ for AR) 325226
Vendor Contact Name Richard Bernard
Vendor Contact Email [email protected]
Contract / Amendment Title Revenue Survey (Sales Tax)
Contract / Amendment Amount $37,300.00
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 Contract Authorization Form for FM3 Revenue Survey2.pdf
Upload Agreement or Amendment FM3 Contract (Sales Tax Survey) Signed by Vendor and Director.pdf
Upload Insurance Documents (COI, Endorsements, WOS, etc.) FM3 - West Hollywood Insurance Certificate Updated.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") ---
Add any notes you may have for Finance and Risk Review teams. ---
Add name of RFP / RFQ / RFB, if issued The vendor was selected through an RFQ issued on 7/14/16 for similar work.
Supplemental Risk Information

General Liability Details

Policy Effective Date 01/13/20
Policy Expiration Date 0/13/21
Policy Amount $1,000,000.00
Endorsements AI, WOS

Automobile Policy Details

Effective Date 01/13/20
Expiration Date 01/13/21
Policy Amount $1,000,000.00

Workers Comp Policy Details

Effective Date 01/13/20
Expiration Date 01/13/21
Policy Amount $1,000,000.00
Endorsements WOS

Professional Liability Policy Details

Effective Date 01/13/20
Expiration Date 01/13/21