Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
The Elizabeth Taylor AIDS Foundation
|
| Vendor Number (3____ for AP and 00___ for AR) |
329519
|
| Vendor Contact Name |
John Scott
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
City Property Agreement
|
| 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 |
Final CAF.pdf
|
| Upload Agreement or Amendment |
Final ETAF Agreement.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
certificate (1).pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
20 21 All Lines - ETAF and The City of West Hollywood, its elected or appointed officers, officials,.pdf, WOS.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
Upload Additional Insurance Files Here
General Liability Details
| Policy Effective Date |
8/21/2021
|
| Policy Expiration Date |
08/21/2022
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
8/21/21
|
| Expiration Date |
8/21/22
|
| Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
| Effective Date |
8/15/2021
|
| Expiration Date |
8/15/2022
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
WOS
|
Other Policy Details
| Other Policy Name 1 |
Umbrella
|
| Effective Date 1 |
9/13/2021
|
| Expiration Date 1 |
9/13/2022
|
| Policy Amount 1 |
$2,000,000.00
|
