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Nov 11, 2021
submission #1210
Enter Basic Contract Information

Administrative Information

Contract Manager Name (City Staff) Francisco Gomez
Contract Manager Email ([email protected]) [email protected]
Department 05 - HSRS
Division 53 - Social Services

Basic Contract Details

Vendor Name City of Lakewood
Vendor Number (3____ for AP and 00___ for AR) 301750
Vendor Contact Name Claire Pierson
Vendor Contact Email [email protected]
Contract / Amendment Title Prop A Fund Trade
Contract / Amendment Amount $1,400,000.00
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 EdenContractAuthorizationForm_Fillable_(Lakewood_Trade_2022).pdf
Upload Agreement or Amendment Lakewood2022.PropAFundTradeAGMT_(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

Waived No ins req'd - fund transfer

Automobile Policy Details

Waived No ins req'd - fund transfer

Workers Comp Policy Details

Waived No ins req'd - fund transfer