Contract Review Process
Feb 23, 2021
submission
#682
Enter Basic Contract Information
Administrative Information
Contract Manager Name (City Staff) | Jenny Ivanova |
Contract Manager Email ([email protected]) | [email protected] |
Department | 05 - HSRS |
Division | 54 - Strategic Initiatives |
Basic Contract Details
Vendor Name | The Regents of the University of California |
Vendor Number (3____ for AP and 00___ for AR) | 329206 |
Vendor Contact Name | Christina F. Domer, |
Vendor Contact Email | [email protected] |
Contract / Amendment Title | AR-Franchise/License Agreement: AR-FRANCHISE AGREEMENTS |
Contract / Amendment Amount | $750.00 |
Is this a new agreement or an amendment to an existing agreement? | It's something else. |
If this is if a Contract Amendment, what is the Contract Number? | Regents UCLA #10006 - replacing this agreement. |
Supplemental Insurance (for Risk team only) | --- |
Upload Contract Documents
Upload Documents
Upload Contract or Amendment Authorization Form | UCLA___EdenContractAuthorizationForm_Fillable.pdf |
Upload Agreement or Amendment | UCLA Longevity Center Renewal Agreement 2020-2021_updated address.pdf |
Upload Docusign "Certificate(s) of Completion" | Summary.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") | --- |
Add any notes you may have for Finance and Risk Review teams. | --- |
Add name of RFP / RFQ / RFB, if issued | None |
- or add weblink to RFP / RFQ / RFB, if issued | None |