Contract Review Process
Sep 23, 2021
submission
#1128
Enter Basic Contract Information
Administrative Information
| Contract Manager Name (City Staff) | Walter Davis |
| Contract Manager Email ([email protected]) | [email protected] |
| Administrator completing this workflow, if different (City staff) | Kristijana Oravec |
| Administrator email ([email protected]) | [email protected] |
| Department | 08 - DPW |
| Division | 84 - Engineering |
Basic Contract Details
| Vendor Name | Crown Caste |
| Vendor Number (3____ for AP and 00___ for AR) | 003248 |
| Vendor Contact Name | Crown Castle |
| Vendor Contact Email | [email protected] |
| Contract / Amendment Title | Wireless Communication Facilities |
| 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) | --- |
Upload Contract Documents
Upload Documents
| Upload Contract or Amendment Authorization Form | WCF MLA Contract Authorization Form Crown Castle.pdf |
| Upload Agreement or Amendment | Crown Castle West Hollywood MLA - Insurance changes accepted MC 6.29.2021.pdf |
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) | Crown Castle West Hollywood MLA - Insurance changes accepted MC 6.29.2021.docx |
| Describe changes to Insurance Requirements, if any (if no insurance is required, type "None required") | --- |
| Upload approval for insurance changes, if any (e.g., email from Risk) | --- |
| Describe changes to Contract Template, if any (If none, type "None required") | --- |
Supplemental Risk Information
General Liability Details
| Policy Effective Date | 04/01/2021 |
| Policy Expiration Date | 04/01/2022 |
| Policy Amount | $1,000,000.00 |
| Endorsements | PNC, AI, WOS |
Automobile Policy Details
| Effective Date | 04/01/2021 |
| Expiration Date | 4/01/2022 |
| Policy Amount | $1,000,000.00 |
Workers Comp Policy Details
| Effective Date | 04/01/2021 |
| Expiration Date | 04/01/2022 |
| Policy Amount | $1,000,000.00 |
| Endorsements | WOS |