Enter Basic Contract Information
Administrative Information
| Contract Manager Name (City Staff) |
Tatiana Rodzinek
|
| Contract Manager Email ([email protected]) |
[email protected]
|
| Department |
04 - PSD
|
| Division |
18 - Public Safety Administration
|
Basic Contract Details
| Vendor Name |
Cosmo Events LA dba Dina Gontar
|
| Vendor Number (3____ for AP and 00___ for AR) |
321655
|
| Vendor Contact Name |
Dina Gontar
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Virtual Russian Arts and Culture Month 2021
|
| Contract / Amendment Amount |
$50,000.00
|
| 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 |
EdenContractAuthorizationForm_DinaGontar_2021(signed).pdf
|
| Upload Agreement or Amendment |
Dina_Gontar_2021_Agrement_for_services(with signatures).pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Summary_2.pdf, Summary.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
WOS City of West Ho.pdf, CG2026-PNC City of West Ho.pdf, Cert of Ins - City of West Hollywood.pdf, WAIVER_Events__RACM_DinaGontar.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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|
| Upload approval for contract template changes (e.g., email from Finance or City Attorney) |
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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.) |
Staff Report Russian Cultural events_2020-2021.pdf
|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
05/01/2021
|
| Policy Expiration Date |
05/01/2022
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
AI, WOS
|
Automobile Policy Details
| Effective Date |
05/01/2021
|
| Expiration Date |
05/01/2022
|
| Policy Amount |
$500,000.00
|
Workers Comp Policy Details
