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Aug 11, 2021
submission #1020
Enter Basic Contract Information

Administrative Information

Contract Manager Name (City Staff) Francisco Gomez
Contract Manager Email ([email protected]) [email protected]
Department 05 - HSRS
Division 53 - Social Services

Basic Contract Details

Vendor Name City of Hermosa Beach
Vendor Number (3____ for AP and 00___ for AR) 307142
Vendor Contact Name Viki Copeland
Vendor Contact Email [email protected]
Contract / Amendment Title Prop A Fund Trade
Contract / Amendment Amount $490,000.00
Is this a new agreement or an amendment to an existing agreement? New Agreement
Supplemental Insurance (for Risk team only) ---
Upload Contract Documents

Upload Documents

Upload Contract or Amendment Authorization Form EdenContractAuthorizationForm_Fillable_(1).pdf
Upload Agreement or Amendment Prop_A_Local_Return_Fund_Exchange_Agreement (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. ---
Supplemental Risk Information

General Liability Details

Waived No insurance is required for this agreement

Automobile Policy Details

Waived No insurance is required for this agreement

Workers Comp Policy Details

Expiration Date No insurance is required for this agreement
Waived No insurance is required for this agreement