Enter Basic Contract Information
Administrative Information
Basic Contract Details
Vendor Name |
Engineering Solutions Services
|
Vendor Number (3____ for AP and 00___ for AR) |
329548
|
Vendor Contact Name |
Sudi Shoja
|
Vendor Contact Email |
[email protected]
|
Contract / Amendment Title |
HMGP Grant program development and compliance monitoring
|
Contract / Amendment Amount |
$706,615.00
|
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 |
ESS_Authorization_Form_Fillable_1_.pdf
|
Upload Agreement or Amendment |
ESS-Weho_Seimic_Grant_MGMT_Agreement_1_.pdf
|
Upload Docusign "Certificate(s) of Completion" |
Summary_1_.pdf
|
Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
AI---CITY OF WEST HOLLYWOOD.pdf, WC- Blanket Waiver in California.pdf, COI---09-29-21- City of West Hollywood.pdf, C. Auto Broad Form.pdf, Business Liability Coverage SS0008 Form.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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Upload approval for contract template changes (e.g., email from Finance or City Attorney) |
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Add name of RFP / RFQ / RFB, if issued |
West Hollywood Seismic Program Grant Program Development, Management and Monitoring Services
|
- or add weblink to RFP / RFQ / RFB, if issued |
https://www.weho.org/home/showpublisheddocument/50580/637642740708130000
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Upload other supporting documents here, if necessary (e.g. staff reports, etc.) |
Staff Report - FEMA Grant Program Development and Management Services.docx
|
Supplemental Risk Information
General Liability Details
Policy Effective Date |
08/19/2021
|
Policy Expiration Date |
08/19/2022
|
Policy Amount |
$2,000,000.00
|
Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
Effective Date |
505/01/2021
|
Expiration Date |
05/01/2022
|
Policy Amount |
$1,000,000.00
|
Endorsements |
NAMED INSURED
|
Workers Comp Policy Details
Effective Date |
08/20/2021
|
Expiration Date |
08/20/2022
|
Policy Amount |
$1,000,000.00
|
Endorsements |
WOS
|
Professional Liability Policy Details
Effective Date |
08/19/2021
|
Expiration Date |
08/19/2022
|
Policy Amount |
$5,000,000.00
|
Other Policy Details
Other Policy Name 1 |
BUS PER PROP
|
Effective Date 1 |
08/192021
|
Expiration Date 1 |
0819/2022
|
Policy Amount 1 |
$14,300.00
|