Contract Review Process
Feb 23, 2021
submission
#683
Enter Basic Contract Information
Administrative Information
| Contract Manager Name (City Staff) | Corri Planck |
| Contract Manager Email ([email protected]) | [email protected] |
| Administrator completing this workflow, if different (City staff) | Jenny Ivanova |
| Administrator email ([email protected]) | [email protected] |
| Department | 05 - HSRS |
| Division | 54 - Strategic Initiatives |
Basic Contract Details
| Vendor Name | County Of Los Angeles |
| Vendor Number (3____ for AP and 00___ for AR) | 001808 |
| Vendor Contact Name | Samuel Han |
| Vendor Contact Email | [email protected] |
| Contract / Amendment Title | Amendment |
| Contract / Amendment Amount | $0.00 |
| Is this a new agreement or an amendment to an existing agreement? | Amendment |
| If this is if a Contract Amendment, what is the Contract Number? | 9700 |
| Supplemental Insurance (for Risk team only) | --- |
Upload Contract Documents
Upload Documents
| Upload Contract or Amendment Authorization Form | Los_Angeles_County_-__Contract_Amendment_Authorization_Form..pdf |
| Upload Agreement or Amendment | Amend 1.W.Hollywood.AO-19-655.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 |