Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
Columbia Technologies Corporation
|
| Vendor Number (3____ for AP and 00___ for AR) |
329615
|
| Vendor Contact Name |
Joanne Hovis
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Telecommunication Consulting Service
|
| Contract / Amendment Amount |
$350,000.00
|
| 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-CTC Consulting Services-signed.pdf
|
| Upload Agreement or Amendment |
Contract_Packet_-_CTC_Consulting_Services-signed.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
COI - West Hollywood CA Liability 20211208.pdf, COI - West Hollywood CA Auto-ACORD Form 20211208-132553.pdf, COI - West Hollywood CA Auto AI 20211208.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 name of RFP / RFQ / RFB, if issued |
Municipal Broadband Consulting Services RFP
|
| - or add weblink to RFP / RFQ / RFB, if issued |
https://pbsystem.planetbids.com/hub/bm/bm-detail/88050
|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
10/1/2021
|
| Policy Expiration Date |
10/1/2022
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
06/09/2021
|
| Expiration Date |
06/09/2022
|
| Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
| Effective Date |
10/1/2021
|
| Expiration Date |
10/1/2022
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
WOS
|
Professional Liability Policy Details
| Effective Date |
10/1/2021
|
| Expiration Date |
10/1/2022
|
| Policy Amount |
$5,000,000.00
|
Other Policy Details
| Other Policy Name 1 |
CRIME
|
| Effective Date 1 |
10/1/2021
|
| Expiration Date 1 |
10/21/22
|
| Policy Amount 1 |
$250,000.00
|
