Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Los Angeles LGBT Center
|
| Vendor Number (3____ for AP and 00___ for AR) |
323911
|
| Vendor Contact Name |
Ricardo DeLeon
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Domestic Violence Counseling
|
| Contract / Amendment Amount |
$56,182.00
|
| 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? |
009046
|
| Supplemental Insurance (for Risk team only) |
---
|
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Supplemental Risk Information
General Liability Details
| Policy Effective Date |
4/1/21
|
| Policy Expiration Date |
4/1/22
|
| Policy Amount |
$500,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
7/1/20
|
| Expiration Date |
7/1/21
|
| Policy Amount |
$5,000,000.00
|
Workers Comp Policy Details
| Effective Date |
4/1/21
|
| Expiration Date |
4/1/22
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
WOS
|
