CALIFORNIA, STATE OF, FRANCHISE TAX BOARD

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N-2012-067 STATE OF CALIFORNIA STANDARD AGREEMENT STD 213 (Rev 06/03) AGREEMENT NUMBER C1100202 REGISTRATION NUMBER 1 . This Agreement is entered into between the State Agency and the Contractor named below: STATE AGENCY'S NAME Franchise Tax Board CONTRACTOR'S NAME City of Santa Ana 2_ The term of this Agreement is: June 1 , 2012 through December 31 , 2014 3. The maximum amount $ 0.00 of this Agreement is: NON-FINANCIAL 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. Exhibit A-Scope of Work 3 pages Exhibit C* -General Terms and Conditions GTC61 O Exhibit D -Special Terms and Conditions 3 pages Exhibit E -City Record Format Specifications 2 pages Exhibit F - FTB Record Layout Specifications 1 pages Exhibit G -Confidentiality Statement 1 page /ferns shown with an AsterisK (), are hereby incorporated by reference and made part of this agreement as if attached hereto. These documents can be viewed at www.ols.d s.ca. ov/Standard+Lan ua a/defau/t.httn IN WITNESS WHEREOF, this Agreement has been executed by the parties hereto. CONTRACTOR CONTRACTOR'S NAME (if other fhan an individual, state whether a corporation, partnership, etc.) City of S to Ana BY (AUt on ed ignature) DATE SIGN ED(Oo not type) ,? PRINTED NAME AND TITLE OF PERSON SIGNING PAUL M. WALTERS, City Manager ADDRESS P.O. Box 1964, M-15, Santa Ana, CA 92702 STATE OF CALIFORNIA AGENCY NAME Franchise Tax Board BY (Ruth ri ignature) ?. DATES NED O no t ty e) p ) ?? / C? PRINTE AME AND TITLE OF PERSON SIGNING Lisa Garrison, Chief Financial Officer ADDRESS P.O. Box 2086, Rancho Cordova, CA 95741-2086 Ca/ifornia Oeparfinenf of Genera/ Services Use Oniy ® Exempt per: SCM 4.04.S.b.