Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Crosstown Electrical & Data
|
| Vendor Number (3____ for AP and 00___ for AR) |
321484
|
| Vendor Contact Name |
Dave Heermance
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Public Works Construction
|
| Contract / Amendment Amount |
$884,311.00
|
| 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 |
New Contract Authorization Form..pdf
|
| Upload Agreement or Amendment |
LED conversion agreement.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
basic contract - Crosstown 08102020 - insurance.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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|
| Add name of RFP / RFQ / RFB, if issued |
LED Streetlight Conversion
|
| Upload RFP / RFQ / RFB file here, if issued |
Notice Inviting Proposals LED Streetlight Conversion .pdf
|
| Upload other supporting documents here, if necessary (e.g. staff reports, etc.) |
RFP LED Conversion - WeHo Insurance Requirement (Addendum1).pdf, RFP Checklist.docx, verify attorney.pdf, RFP LED CONVERSION.pdf, RFP LED CONVERSION - Bid Bond & Deadline Extension (Addendum5).pdf, RFP LED Conversion Schedule B (Addendum2).pdf, RFP LED Conversion Schedule C (Addendum3).pdf, Bond Verification.pdf, performance bond.pdf, DIR Prime Contractor.pdf, CSLB Prime Contractor.pdf
|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
09/03/20
|
| Policy Expiration Date |
09/03/21
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
11/05/20
|
| Expiration Date |
11/05/21
|
| Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
| Effective Date |
06/03/20
|
| Expiration Date |
06/03/21
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
WOS
|
Other Policy Details
| Other Policy Name 1 |
Excess Liability
|
| Effective Date 1 |
06/03/20
|
| Expiration Date 1 |
06/03/21
|
| Policy Amount 1 |
$10,000,000.00
|
