Enter Basic Contract Information
Administrative Information
| Contract Manager Name (City Staff) |
Andi Lovano
|
| Contract Manager Email ([email protected]) |
[email protected]
|
| Department |
01 - CMD
|
| Division |
15 - Community & Legislative Affairs
|
Basic Contract Details
| Vendor Name |
HIAS
|
| Vendor Number (3____ for AP and 00___ for AR) |
329356
|
| Vendor Contact Name |
Joe Goldman
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Co-sponsorship of HIAS World Refugee Day
|
| Contract / Amendment Amount |
$0.00
|
| 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_HIAS_-_final.pdf
|
| Upload Agreement or Amendment |
WeHo___Event_Cosponsorship_Agmt_HIAS-c1.docx.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Summary-co-sponsorship.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
21-22 PKGC Blanket AI PNC WOS (002).pdf, 21-22 Master COI - The 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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|
| 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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|
| Add name of RFP / RFQ / RFB, if issued |
|
| Upload other supporting documents here, if necessary (e.g. staff reports, etc.) |
Shyne Erickson_Co-sponsor HIAS event.docx
|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
4/1/21
|
| Policy Expiration Date |
4/1/22
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
AI
|
Automobile Policy Details
| Waived |
INSURANCE NOT REQUIRED
|
Workers Comp Policy Details
| Waived |
INSURANCE NOT REQUIRED
|
