Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
La Brea Media LLC
|
| Vendor Number (3____ for AP and 00___ for AR) |
329096
|
| Vendor Contact Name |
Howard Bragman
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Crisis Communications Consulting
|
| Contract / Amendment Amount |
$25,000.00
|
| 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 |
LA Brea Media Authorization SIGNED SUMMARY.pdf, LA Brea Media Authorization SIGNED.pdf
|
| Upload Agreement or Amendment |
La Brea Media SIGNED.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
La Brea Media SIGNED SUMMARY.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
La Brea Media - Insurance 2.pdf, La Brea Media - Insurance 3.pdf, LA BREA MEDIA LLC - WC WAIVER OF SUBROGATION.pdf, La Brea Media - Insurance 1.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 |
N/A
|
| - or add weblink to RFP / RFQ / RFB, if issued |
N/A
|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
02/02/20
|
| Policy Expiration Date |
02/02/21
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
02/02/20
|
| Expiration Date |
02/02/21
|
| Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
| Effective Date |
06/01/20
|
| Expiration Date |
06/01/21
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
WOS
|
Professional Liability Policy Details
| Effective Date |
02/02/20
|
| Expiration Date |
02/02/21
|
| Policy Amount |
$1,000,000.00
|
Other Policy Details
| Other Policy Name 1 |
Excess Liability
|
| Effective Date 1 |
02/02/20
|
| Expiration Date 1 |
02/02/21
|
| Policy Amount 1 |
$5,000,000.00
|
