Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
National Council of Jewish Women
|
| Vendor Number (3____ for AP and 00___ for AR) |
302923
|
| Vendor Contact Name |
Rachel Resnick
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Contract
|
| Contract / Amendment Amount |
$648,639.00
|
| 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 |
Contract_Authorization_Form_-_Guaranteed_Income_Pilot.pdf
|
| Upload Agreement or Amendment |
Contract_Over25K_NCJW_LA_guaranteed_income_pilot.pdf
|
| Upload Docusign "Certificate(s) of Completion" |
Summary.pdf, Contract_Summary.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
COI - City of West Hollywood.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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| Add any notes you may have for Finance and Risk Review teams. |
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|
| Add name of RFP / RFQ / RFB, if issued |
Guaranteed Income Pilot Non-profit Program Administrator
|
| - or add weblink to RFP / RFQ / RFB, if issued |
https://www.weho.org/home/showpublisheddocument/51164/637695503824070000
|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
06/30/2021
|
| Policy Expiration Date |
06/30/2022
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
60/30/2021
|
| Expiration Date |
06/0/2022
|
| Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
| Effective Date |
02/15/2021
|
| Expiration Date |
02/15/2022
|
| Endorsements |
WOS
|