New Contract Request Form

Request for Contract

Project * Project

Your Email *

Director *

Program Coordinator/Manager *

School/District Info

School/District *

Upload Budget *

Maximum file size: 16.78MB

Mailing Address *

City, State, Zip *

Contact Name *

Contact Title *

Contact Email *

Phone *

Fax

Contract Details

Upload Proposal/Description *

Maximum file size: 8MB

Proposal/Description of Services

Cost *

Dates of Service *

Date of next board/department review meeting

Is this request for LAUSD or non-LAUSD? *

LAUSD

Non-LAUSD

Does this contract require a Consultant Agreement?

Yes

Upload Consultant Agreement and Any Other Docs

Maximum file size: 16.78MB

Comments (optional)

Insurance & Risk Management

Will the project be working with minors (anyone under the age of 18) throughout the duration of the contract?

Yes

Upload Signed Certificates

Maximum file size: 16.78MB

Please confirm that the district's requirements for working with minors are being met.

ALL staff working with minors will need fingerprinting and clearance. Services cannot be provided unless Center X gets confirmation that these requirements have been met.

Will the project be doing work on the school site?

Yes

Upload Facilities Agreement

Maximum file size: 16.78MB

Please provide a copy of the Facilities Agreement. This Agreement will need to be reviewed by Insurance and Risk Management.

Contact information for the AUTHORIZED signer on the school's/school district's side

Please note, this person will typically be DIFFERENT from the school contact.

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