Contract Review Process
Oct 28, 2021
submission
#1183
Enter Basic Contract Information
Administrative Information
| Contract Manager Name (City Staff) | Hernan Molina |
| Contract Manager Email ([email protected]) | [email protected] |
| Administrator completing this workflow, if different (City staff) | Jenny Ivanova |
| Administrator email ([email protected]) | [email protected] |
| Department | 01 - CMD |
| Division | 15 - Community & Legislative Affairs |
Basic Contract Details
| Vendor Name | The C.I.T.Y. x1 Youth Group |
| Vendor Number (3____ for AP and 00___ for AR) | 326569 |
| Vendor Contact Name | Carlos Sosa |
| Vendor Contact Email | [email protected] |
| Contract / Amendment Title | Financial Support Agreement |
| Contract / Amendment Amount | $1,000.00 |
| Is this a new agreement or an amendment to an existing agreement? | New Agreement |
| If this is if a Contract Amendment, what is the Contract Number? | n/a |
| Supplemental Insurance (for Risk team only) | --- |
Upload Contract Documents
Upload Documents
| Upload Contract or Amendment Authorization Form | Contract_Authorization_Form_CITY_X1_Youth_Group_Sept_17_2021.docx.pdf |
| Upload Agreement or Amendment | CityX1_Thanksgiving_Feast_Financial_Support_Agreement_2021.docx.pdf |
| Upload Docusign "Certificate(s) of Completion" | Summary.pdf |
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) | 2021 city of west hollywood (002).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. | --- |
| Add name of RFP / RFQ / RFB, if issued | none |
| - or add weblink to RFP / RFQ / RFB, if issued | none |
Supplemental Risk Information
General Liability Details
| Policy Effective Date | 07/01/2021 |
| Policy Expiration Date | 07/01/2022 |
| Policy Amount | $1,000,000.00 |
| Endorsements | PNC, AI, WOS |
Automobile Policy Details
| Waived | WAIVED |
Workers Comp Policy Details
| Endorsements | Exempt |
| Waived | WAIVED |