Contract Review Process
Jan 24, 2022
submission
#1321
Enter Basic Contract Information
Administrative Information
| Contract Manager Name (City Staff) | Rebecca Ehemann |
| Contract Manager Email ([email protected]) | [email protected] |
| Administrator completing this workflow, if different (City staff) | Dennice Oceguera |
| Administrator email ([email protected]) | [email protected] |
| Department | 09 - COM |
| Division | 12 - Arts |
Basic Contract Details
| Vendor Name | Shelley Heffler |
| Vendor Number (3____ for AP and 00___ for AR) | 329652 |
| Vendor Contact Name | Shelley Heffler |
| Vendor Contact Email | [email protected] |
| Contract / Amendment Title | Temporary Art Project |
| Contract / Amendment Amount | $10,000.00 |
| 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_Shelley_Heffler_Community_Quilt_fnl.pdf |
| Upload Agreement or Amendment | DocuSign_Contract_Shelley_Heffler_Wes.pdf |
| Upload Docusign "Certificate(s) of Completion" | Summary.pdf |
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) | COI SHELLEY HEFFLER CITY OF WEST HOLLYWOOD AI+WOS 20210701 20220702.pdf, Shelley Heffler Auto Insurance.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
| Policy Effective Date | 07/15/2021 |
| Policy Expiration Date | 07/15/2022 |
| Policy Amount | $1,000,000.00 |
| Endorsements | PNC, AI, WOS |
Automobile Policy Details
| Effective Date | 07/01/2021 |
| Expiration Date | 7/01/2022 |
| Policy Amount | $100,000.00 |
Workers Comp Policy Details
| Endorsements | Exempt |