Contract Review Process
Jun 23, 2021
submission
#922
Enter Basic Contract Information
Administrative Information
| Contract Manager Name (City Staff) | San Fernando |
| Contract Manager Email ([email protected]) | [email protected] |
| Administrator completing this workflow, if different (City staff) | Michael Gasca |
| Administrator email ([email protected]) | [email protected] |
| Department | 06 - FRS |
| Division | 51 - Recreation Services |
Basic Contract Details
| Vendor Name | Jewish Family Service |
| Vendor Number (3____ for AP and 00___ for AR) | 311159 |
| Vendor Contact Name | Eli Veitzer |
| Vendor Contact Email | [email protected] |
| Contract / Amendment Title | JFS/HOMEMAKER & COMM CNTR PROG |
| Contract / Amendment Amount | $55,000.00 |
| 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? | 008573 |
| Supplemental Insurance (for Risk team only) | --- |
Upload Contract Documents
Upload Documents
| Upload Contract or Amendment Authorization Form | JFS Amendment Authorization Form - No 4 (signed) (2021-2022).pdf |
| Upload Agreement or Amendment | JFS Receptionist Services - Amendment No 4 (2021-22) (signed).pdf |
| Upload Docusign "Certificate(s) of Completion" | Certificate of Completion - JFS Amendment Authorization Form - No 4.pdf, JFS Receptionist Services - Amendment No 4 (2021-22) (Certificate of Completion).pdf |
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) | City-of-West-Hollywood_Jewish-Family-S_20-21-GL-(Abuse)-Etc_4-6-2021_763198401_1.pdf, City-of-West-Hollywood_Jewish-Family-S_21-22-WC_4-6-2021_944305244_1.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. | --- |