Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Albert Grover and Associates
|
| Vendor Number (3____ for AP and 00___ for AR) |
318134
|
| Vendor Contact Name |
Mark Miller
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Basic Contract - Professional Services
|
| Contract / Amendment Amount |
$119,000.00
|
| 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 |
AGA 1.pdf
|
| Upload Agreement or Amendment |
agreement.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
West Hollywood COI 2020-2021.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") |
---
|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
07/01/20
|
| Policy Expiration Date |
07/01/21
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
07/01/20
|
| Expiration Date |
07/01/21
|
| Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
| Effective Date |
07/01/20
|
| Expiration Date |
07/01/21
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
WOS
|
Professional Liability Policy Details
| Effective Date |
07/01/20
|
| Expiration Date |
07/01/21
|
| Policy Amount |
$3,000,000.00
|
Other Policy Details
| Other Policy Name 1 |
Excess Liability
|
| Effective Date 1 |
07/01/20
|
| Expiration Date 1 |
07/01/21
|
| Policy Amount 1 |
$2,000,000.00
|
