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MAY 1 1 2021 <br />STATE OF CALIFORNIA- DEPARTMENT OF GENERAL SERVICES WI. <br />STANDARD AGREEMENT -AMENDMENT <br />S I STD 213A (Rev. 4/2020) <br />¢S ® CHECK HERE IF ADDITIONAL PAGES ARE ATTACHED 10 PAGES <br />1. This Agreement is entered into between the Contracting Agency ai <br />A-2019-175-02 <br />(UIRED SCO ID: 7120-M521607120-A2 <br />` 'FOCEFn <br />iGREEMEJ01 ffiiUftFR AMENDMENTNUMBER Purchasing Authority Number <br />M01134, 2 1 EDD-7100 <br />CONTRACTING AGENCY NAME <br />Return ORIGINAL <br />California Workforce Development Board (CWDB) executed copy to COTC, <br />CONTRACTOR NAME M-30 co - <br />City of Santa Ana <br />2. The term of this Agreement Is: <br />START DATE <br />September 1, 2019, or upon final approval <br />THROUGH END DATE <br />March 31, 2022 <br />3. The maximum amount of this Agreement after this Amendment is: <br />$1,306,117.00 (One Million Three Hundred Six Thousand One Hundred Seventeen Dollars and No Cents) <br />4. The parties mutually agree to this amendment as follows. All actions noted below are by this reference made a part of the Agreement and <br />incorporated herein: <br />The City of Santa Ana has removed one of their service providers, Chrysalis, and replaced it with Working Wardrobes. Amendment 2 adds no additional <br />time to the contract term, nor additional funding. <br />Specific: <br />Replace Attachment B-1, Budget Summary, in its entirety (Total of 1 page) <br />Replace Attachment B-2, Budget Narrative, in its entirety (Total of 1 page) <br />Add Exhibit G, Agency Funding Form (Total of 2 pages) <br />Add Exhibit H, Partner Roles Responsibilities (Total of 6 pages) <br />All other terms and conditions shall remain the some <br />IN WITNESS WHEREOF, THIS AGREEMENT HAS BEEN EXECUTED BYTHE PARTIES HERETO. <br />CONTRACTOR <br />CONTRACTOR NAME (if other than an individual, state whether a corporation, partnership, etc) <br />City of Santa Ana <br />CONTRACTOR BUSINESS ADDRESS CITY STATE ZIP <br />20 Civic Center Plaza Santa Ana CA 92701 <br />PRINTED NAME OF PERSON SIGNING TITLE <br />Kristine Ridge City Manager <br />CONTRACTOR AUTHORIZED SIGNATURE DATE SIGNED <br />d� �5 I0—+ l�Z� <br />Approved as to form: RECOMMENDED FOR APPROVAL: <br />Ryo ONHodge Steven A. Mendoza <br />Assistant City Attorney <br />Community Development Executive Director <br />ATTEST. <br />9: <br />Daisy Gomez, MMC City Clerk <br />`. <br />Clerk of the Council y Page 1 of 2 <br />