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ATTACHMENT A CMAS QUARTERLY BUSINESS ACTIVITY REPORT (A REPORT IS REQUIRED EVEN WHEN THERE IS NO ACTIVITY) 1. Calendar Quarter Number: (Quarter # and Year) 2. CMAS Contract Number: XX- XX- XX -XXXXX (including alpha suffix if applicable) 3. Contractor: Company Name and Address 4. Contractor Contact: Name and Phone Number 5. 6. 7. 8. 9. 10. 11. 12. Agency Name Purchase Order Purchase Agency Total Dollars Agency Agency Phone Number Order Date Billing Code per Purchase Contact Address Number Order 13. Total dollars for quarter: S The Quarterly Report must contain all of the above data elements, but may be in a landscape report format. 1. Identify the calendar quarter number and year for the report you are submitting. 2. Identify your company's CMAS contract number. A separate report is required for each contract, as differentiated by alpha suffix (if applicable). Multiple contracts on Std. 65 State Purchase Order form should be itemized by contract number. For each individual contract (as differentiated by alpha suffix), identify and group together the contract number with line items and subtotal per contract number (do not include tax in the subtotal). 3. Identify your company name and mailing address. 4. Identify the company contact and phone number for the CMAS contract or the person preparing and submitting the report. 5. Identify the state agency or local government that issued the CMAS order. 6. Identify the purchase order number (and amendment number if applicable) on the order form. This is not your invoice number. This is the number the agency or local government assigns to the order. 7. Identify the date the purchase order was issued. This is not the date you received, accepted, or invoiced the order. 8. Identify the state agency billing code. This is a five -digit number identified on the upper right hand corner of the Std. 65 purchase order form. You must identity this number on all purchases made by State of California agencies. Local governments will not reference a billing code. You may leave this blank for local government orders. 9. Identify the total dollars of each purchase order before tax. Tax must NOT be included in the quarterly report, even if the agency includes tax on the purchase order. The total dollars per order should indicate the entire purchase order amount regardless of when you invoice order, perform services, deliver product, or receive payment. For amended orders, enter the incremental increase /decrease only. 10. Identify the "Bill To" agency or local government CONTACT on the purchase order. 11. Identify the "Bill To" agency or local government ADDRESS on the purchase order. 12. Identify the agency or local government phone number on the purchase order. 13. Identify the total dollars pre -tax for all orders placed in that calendar quarter. Updated 9/4/01