Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Barry's Bootcamp Holdings, LLC
|
| Vendor Number (3____ for AP and 00___ for AR) |
003111
|
| Vendor Contact Name |
Adam Shane
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
City Property Lease Agreement
|
| Contract / Amendment Amount |
$0.00
|
| 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 |
Barry Autho.pdf
|
| Upload Agreement or Amendment |
(Execution Version) Lease Agreement - 8383 Santa Monica Blvd. (11.25.20).pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
KRI-GL-79 CA. The City of West Hollywood.pdf, CG2011 4-13 - blanket.pdf, Certificate.pdf, BBC Holdings, LLC KKI 249881 Primary and Noncontributory.pdf, KRI-GL-94 Broad End.pdf, insurance.pdf, Certificate.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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|
| Upload other supporting documents here, if necessary (e.g. staff reports, etc.) |
email proof.pdf
|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
11/25/20
|
| Policy Expiration Date |
11/25/21
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, WOS
|
Automobile Policy Details
| Effective Date |
11/25/20
|
| Expiration Date |
11/25/21
|
| Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
| Effective Date |
11/25/20
|
| Expiration Date |
11/25/21
|
| Policy Amount |
$1,000,000.00
|
Professional Liability Policy Details
| Effective Date |
11/25/20
|
| Expiration Date |
11/25/21
|
| Policy Amount |
$1,000,000.00
|
Other Policy Details
| Other Policy Name 1 |
CRIME
|
| Effective Date 1 |
11/25/20
|
| Expiration Date 1 |
11/25/21
|
| Policy Amount 1 |
$1,000,000.00
|
