Enter Basic Contract Information
Administrative Information
| Contract Manager Name (City Staff) |
Christine Safriet
|
| Contract Manager Email ([email protected]) |
[email protected]
|
| Department |
01 - CMD
|
| Division |
11 - Assistant City Manager
|
Basic Contract Details
| Vendor Name |
ClearGov, Inc.
|
| Vendor Number (3____ for AP and 00___ for AR) |
329075
|
| Vendor Contact Name |
Rachel Alexander
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Budget Planning Software
|
| Contract / Amendment Amount |
$140,813.00
|
| 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 |
ClearGov Contract Authorization Form_DAW.pdf
|
| Upload Agreement or Amendment |
ClearGov-West_Hollywood_Agreements_09-28-2020_Burdick signature only.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
ClearGov_Summary.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
ClearGov - W Comp WC000313.pdf, ClearGov - The Hartford Form SS0008 - ClearGov Inc..pdf, ClearGov - COI - ClearGov Inc for City of Brockton.Pdf
|
| Describe changes to Insurance Requirements, if any (if no insurance is required, type "None required") |
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|
| Upload approval for insurance changes, if any (e.g., email from Risk) |
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|
| Describe changes to Contract Template, if any (If none, type "None required") |
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|
| Upload approval for contract template changes (e.g., email from Finance or City Attorney) |
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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 |
Budget Planning Software RFP 3/18/2020
|
| Upload RFP / RFQ / RFB file here, if issued |
2_REVISED 3-27-2020_West Hollywood_Budget Planning Software RFP_Due 4-17-2020.pdf
|
| - or add weblink to RFP / RFQ / RFB, if issued |
https://www.planetbids.com/portal/portal.cfm?CompanyID=22761&BidID=71048
|
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 |
01/01/20
|
| Expiration Date |
01/01/21
|
| Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
| Effective Date |
01/24/20
|
| Expiration Date |
01/24/21
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
WOS
|
Other Policy Details
| Other Policy Name 1 |
Employment Practices Liability
|
| Effective Date 1 |
01/01/20
|
| Expiration Date 1 |
01/01/21
|
| Policy Amount 1 |
$10,000.00
|
