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09f06/2011 16:49 916657915? 911 FAX PAGE 02 <br />State of California, California 9.1-1 Emergency Communications Office (9.1-1 Office) <br />COMMITMENT TO FUND 9-1.1 EQUIPMENT AND SERVICES <br />TD-288 Rev 12106; <br /> T3?is !Form To P6; Complet6d Sy The Stale q..1 -1 Office <br />Public Agency: Santa Ann Fire Department Contractor Name: verizon <br />Address: 1439 south eroadv ay M-eO Mailing Address: <br />City, State, Zip Santa Ana, CA 92767 City, State, Zip <br />PSAP Manager. Amanda Laser Representative: Jahn Bourne <br />E-mail Address: aka ?i santa•arLa,ca.us F.,-Mail Address <br />Phone Number: 714-64 7.5795 Phone Number: 909-590-5690 <br />Fax Number: 714-647-5779 Fax Number: <br />Type of Funding Request. <br />C 1 9-1-1 Equipment ( ) 9-1-1 Network ( ) Training <br />9-1-1 Education ( ) County Coordinator Expense 7-Digit Phone Lines <br />(X) Maintenance Other: <br />Description of Equipment and Services to be funded: Effective November 1, 2011, Verizon wili provide month to month <br />maintenance for a 5 position Vesta Standard with Magic in compli inre with the terms and conditions of State Contract <br />Number: 5-06-58-18 and the associated price quote for a period not to exceed 24 months. -Elie PSAP may also terminate <br />the contract at any time with 30 days notice to Verizon. <br />Purchase/Service Information Include cuipmerit or ser icF description, quantity, part number. unit cost, installation cast, <br />monthly cost, tax and total cost Attach contractors quote or PSAP purchase order, where applicable, <br />Description Quantity Service/ <br />?t. ID# Unit Cost Installat"ton Monthly <br />Cost Total Recurring <br />Cost Total Non. <br />Recurring Cost. <br />Monthly Maintenance 24 _ 806.83 19,363.92 <br /> <br /> <br /> <br /> <br /> <br /> Subtotal 19, 363.92 <br />Tax and Surcharge - <br />TOTAL APPROVED $19,363.92 <br />TD-288 expiration date: NIA Fiscal Year: 201112012 <br />All invoices shall refer to tracking number: 15185 Account Name: 30 Santa Ana FD ME VZ <br />The State of California's monetary obligation under this agreement in subsequent fiscal years is subject to, and <br />contingent upon, availability of funds in the State Emergency Telephone Account. Please be advised that this <br />commitment to fund does not constitute a binding purchase order agreement. <br />RECOM E DED FO APPROVAL BY <br />Sofia ng Telephone Number <br />{916} 657-9180 APPROVE OVE <br />Da Dana L. Earl Date <br />U v U <br />55B-6