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Sep 01, 2021
submission #1058
Enter Basic Contract Information

Administrative Information

Contract Manager Name (City Staff) Carlos Corrales
Contract Manager Email ([email protected]) [email protected]
Administrator completing this workflow, if different (City staff) Karen Bareng
Administrator email ([email protected]) [email protected]
Department 03 - FIN
Division 33 - Accounting

Basic Contract Details

Vendor Name Gourmet coffee service
Vendor Number (3____ for AP and 00___ for AR) 317787
Vendor Contact Name Josh Pagano
Vendor Contact Email [email protected]
Contract / Amendment Title Amendment No. 1 to Agreement for Services
Contract / Amendment Amount $150,000.00
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? 8570
Supplemental Insurance (for Risk team only) ---
Upload Contract Documents

Upload Documents

Upload Contract or Amendment Authorization Form Contract_-Gourmet_Coffee__8570_Amend__1_Forms.pdf
Upload Agreement or Amendment Contract_8570_Gourmet_Coffee_final_71421.pdf
Upload Docusign "Certificate(s) of Completion" Summary.pdf, Summarys.pdf
Upload Insurance Documents (COI, Endorsements, WOS, etc.) cert_ATL_City of West Hollywood_5280292_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") ---
Supplemental Risk Information

General Liability Details

Policy Effective Date 09/30/2020
Policy Expiration Date 09/30/2021
Policy Amount $1,000,000.00
Endorsements PNC, AI, WOS

Automobile Policy Details

Effective Date 09/30/2020
Expiration Date 09/30/2021
Policy Amount $1,000,000.00

Workers Comp Policy Details

Effective Date 09/30/2020
Expiration Date 09/30/2021
Policy Amount $1,000,000.00