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b: cMSR to) Return FULLY EXECUTED SCO ID: //30-0000000000000000000107503 <br /> KobtrI Zubiatt (KF)Copy to City Clerk, M-30 A-2024-199 <br /> STATE OF CALIFORNIA-DEPARTMENT OF GENERAL SERVICES <br /> STANDARD AGREEMENT AGREEMENT NUMBER PURCHASING AUTHORITY NUMBER(If Applicable) <br /> o STD 213(Rev.04/2020) 000000000000000000107503 <br />`-D 1.This Agreement is entered into between the Contracting Agency and the Contractor named below: <br /> CONTRACTING AGENCY NAME <br /> z Franchise Tax Board <br /> CONTRACTOR NAME <br /> City of Santa Ana <br /> 2.The term of this Agreement is: <br /> START DATE <br /> January 1,2025 or date of approval,whichever is later, <br /> THROUGH END DATE <br /> December 31,2027 <br /> 3.The maximum amount of this Agreement is: <br /> $0.00(ZERO AND 00/100 DOLLARS) <br /> 4.The parties agree to comply with the terms and conditions of the following exhibits,which are by this reference made a part of the Agreement. <br /> Exhibits Title Pages <br /> Exhibit A Scope of Work 3 <br /> Exhibit B Budget Detail and Payment Provisions 1 <br /> Exhibit C* General Terms and Conditions GTC41 7 <br /> —• Exhibit D Special Terms and Conditions 4 <br /> —• Exhibit E City and County Record Layout Specifications(FTB 909) 2 <br /> —• Exhibit F Franchise Tax Board Record Layout Specifications(FTB 909A) 1 <br /> —• Exhibit G Confidentiality Statement(FTB 712) 1 <br /> Items shown with an asterisk(*),are hereby incorporated by reference and made part of this agreement as if attached hereto. <br /> These documents can be viewed at https://www.dgs.ca.gov/OLS/Resources <br /> IN WITNESS WHEREOF,THIS AGREEMENT HAS BEEN EXECUTED BY THE 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 /> See signatures on following page <br /> CONTRACTOR AUTHORIZED SIGNATURE DATE SIGNED <br /> Page 1 of 2 <br />