Enter Basic Contract Information
Administrative Information
Basic Contract Details
Vendor Name |
MUTUO
|
Vendor Number (3____ for AP and 00___ for AR) |
329093
|
Vendor Contact Name |
Jose Herrasti
|
Vendor Contact Email |
[email protected]
|
Contract / Amendment Title |
Sunset Blvd Gateway Design Phase 1
|
Contract / Amendment Amount |
$10,000.00
|
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 |
MUTUO_Authorization Form_Fillable.pdf
|
Upload Agreement or Amendment |
MUTUO_Sunset_Gateway_Design_Phase1.pdf
|
Upload Docusign "Certificate(s) of Completion" |
Summary.pdf
|
Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
WC.pdf, MIDTERM-9096756-2020.pdf, Mutuo - GL and Endorsements.pdf, Validated City of W. Hollywood - x2021.pdf, Vehicle proof of Insurance.pdf, Jose Herrasti-Worker's comp Insurance.pdf, Worker's Comp Cerificate of Insurance-Jose Herrasti.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") |
---
|
Upload approval for contract template changes (e.g., email from Finance or City Attorney) |
---
|
Add any notes you may have for Finance and Risk Review teams. |
---
|
Add name of RFP / RFQ / RFB, if issued |
Sunset Boulevard Gateway Design
|
Upload RFP / RFQ / RFB file here, if issued |
Sunset Boulevard Gateway Design RFQ FINAL.pdf
|
Upload other supporting documents here, if necessary (e.g. staff reports, etc.) |
CC_032020_SUNSET STRIP GATEWAY DESIGN FRAMEWORK.pdf
|
Supplemental Risk Information
General Liability Details
Policy Effective Date |
10/27/20
|
Policy Expiration Date |
10/27/21
|
Policy Amount |
$1,000,000.00
|
Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
Effective Date |
06/06/20
|
Expiration Date |
12/06/20
|
Policy Amount |
$300,000.00
|
Workers Comp Policy Details
Effective Date |
04/22/20
|
Expiration Date |
04/22/21
|
Policy Amount |
$1,000,000.00
|
Endorsements |
WOS
|