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25J - AGMT - TELEPHONE SRVC REIMBURSEMENT
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25J - AGMT - TELEPHONE SRVC REIMBURSEMENT
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Last modified
8/16/2012 10:50:04 AM
Creation date
8/16/2012 10:50:02 AM
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City Clerk
Doc Type
Agenda Packet
Agency
Community Development
Item #
25J
Date
8/20/2012
Destruction Year
2017
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STATE OF CALIFORNIA <br />STANDARD AGREEMENT <br />STD. 213 (Rev 06/03) <br />AGREEMENT NUMBER <br />REGISTRATION NUMBER <br />M387832 <br />1. This Agreement is entered into between the State Agency and the Contractor named below: <br />------------- -------- <br />STATE AGENCY'S NAME <br />Employment Development Department <br />CONTRACTOR'S NAME <br />City of Santa Ana Work Center <br />2. The term of this <br />Agreement is: July 1, 2012 through June 30, 2014, or upon final approval. <br />3. The maximum amount $37,816.00 <br />of this Agreement is: Thirty Seven Thousand Eight Hundred Sixteen Dollars and No Cents <br />4. The parties agree to comply with the terms and conditions of the following exhibits which are by this reference made a <br />part of the Agreement. <br />Exhibit A Scope of Work 1 Page <br />Attachment A-1 Specifications 1 Page <br />Exhibit B Budget Detail and Payment Provisions 1 Page <br />Attachment B-1 Cost Breakdown 1 Page <br />Exhibit C * General Terms and Conditions GTC 610 <br />Exhibit D Special Terms and Conditions 1 Page <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 www.ols.dgs.ca.gov/Standard%2OLanguage/defualt.htm <br />IN WITNESS WHEREOF, this Agreement has been executed by the parties hereto. <br />CONTRACTOR California Department of General <br />-- - Services Use Only <br />CONTRACTOR'S NAME (if other than an individual, state whether a corporation, partnership, etc.) <br />City of Santa Ana Work Center <br />BY (Authorized Signature) <br />DATE SIGNED (Do not type) <br />---- - - - -------- ..... <br />PRINTED NAME AND TITLE OF PERSON SIGNING <br />Nancy Edwards, Interim Executive Director APPROVED AS TO ?ORM <br />ADDRESS <br />1000 E Santa Ana Blvd Suite 200, Santa Ana, CA 92701 <br />i inn r nrn nnl/ STATE OF CALIFORNIA <br /> <br />AGENCY NAME <br />Employment Development Department <br />BY (Authorized Signature) <br />PRINTED NAME AND TITLE OF PERSON SIGNING <br />Rose Liu, Chief, Procurement Section <br />ADDRESS <br />800 Capitol Mall, MIC 62-C, Sacramento, CA 95814 <br />Assistant City A <br />DATE SIGNED (Do not type) <br />25J-3 <br />?x Exempt per: <br />DGS Exemption Letter No. 54.3 <br />EXHIBIT 1
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