Enter Basic Contract Information
Administrative Information
| Contract Manager Name (City Staff) |
Helen Collins
|
| Contract Manager Email ([email protected]) |
[email protected]
|
| Department |
06 - FRS
|
| Division |
55 - Facilities & Field Services
|
Basic Contract Details
| Vendor Name |
Bligh Roof Company, Inc.
|
| Vendor Number (3____ for AP and 00___ for AR) |
329306
|
| Vendor Contact Name |
Robert Bligh
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
City Hall Roof Replacement Project
|
| Contract / Amendment Amount |
$157,368.75
|
| 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 |
Authorization Page.pdf
|
| Upload Agreement or Amendment |
Signed Agreement with Bonds and Exhibit A.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
COI CITY OF WEST HOLLYWOOD.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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|
| Add name of RFP / RFQ / RFB, if issued |
City Hall Roof Replacement Project CIP 55-06
|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
05/01/20
|
| Policy Expiration Date |
05/01/21
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
05/01/20
|
| Expiration Date |
05/01/21
|
| Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
| Effective Date |
05/01/20
|
| Expiration Date |
05/01/21
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
WOS
|
Other Policy Details
| Other Policy Name 1 |
Excess Liability
|
| Effective Date 1 |
05/01/20
|
| Expiration Date 1 |
05/01/21
|
| Policy Amount 1 |
$5,000,000.00
|
