Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
NAYA LLC
|
| Vendor Number (3____ for AP and 00___ for AR) |
322656
|
| Vendor Contact Name |
OllyBayliss
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Contract Instructor Agreement
|
| Contract / Amendment Amount |
$20,000.00
|
| 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_NAYA_LLC_2021.pdf
|
| Upload Agreement or Amendment |
Individual_Instructor_NAYA_LLC_City_of_West_Hollywood_Agreement_2021-2022_dateedit.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Summary.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
2020-21_west_hollywood_city_of_workers_comp.pdf, 2021-q3_city_of_west_hollywood-kidzlovesoccer.pdf, 2021-q3_city_of_west_hollywood-_kidzlovesoccer-wos_end.pdf, 2021-q3_city_of_west_hollywood-_kidzlovesoccer-pnc_end.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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|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
1/1/21
|
| Policy Expiration Date |
1/1/22
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
| Waived |
$1M/$5M; includes abuse and molestation coverage @ $1M/$2M
|
Automobile Policy Details
Other Policy Details
| Other Policy Name 1 |
Participant Accident / Medical Coverage
|
| Effective Date 1 |
1/1/21
|
| Expiration Date 1 |
1/1/22
|
| Policy Amount 1 |
$5,000.00
|
