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Home My WebLink AboutCALIFORNIA, STATE OF EMPLOYMENT DEVELOPMENT DEPARTMENT (8)Fi$CI N40729 Dist. 04/30/20 ao —? SL Return ORIGfNAL < j a executed copy to COTC, A-2019-070-02B STATE OF CAUFORNI:R-VtPARTMENT OF GENERAL SERVICES M-30 STANDARD AGREEMENT - AMENDMENT STD 713A (Rev. 1012419! AGREEMENT NUMBER AMLNDMLNT NUMBER Purchasing Authority Number ® CHECK HERE IF ADDITIONAL PAGES ARE ATTACHED PAGES M9109990 1 EDD-7100 I This Agreement is entered into between the State Agency and the Contractor named below: STATE AGENCY NAME Employment Development Department (EDD) CONTRACTORNAME City of Santa Ana Work Center 2. The term of this Agreement is: START DATE October 1, 2018 THROUGH END DATE June 30, 2020 3. The maximum amount of this Agreement after this Amendment is: $31,460.02 Thirty One Thousand Four Hundred Sixty Dollars and Two Cents 4. The parties mutually agree to this amendment as follows. All actions noted below are by this reference made a part of the Agreement and incorporated herein: This Amendment 1, is for the purpose of increasing the dollar amount of the original Agreement by an additional Three Thousand Seventy -Seven Dollars and Two Cents due to maintenance fees were not added in the original Agreement. Specific: Delete Exhibit 8, Budget Detail and Payment Provision in its entirety and replace with the attached revised Exhibit B. All other terms and conditions shall remain the same IN WITNESS WHEREOF, THISAGREEMENTHAS BEEN EXECUTED BY THE PARTIES HERETO. CONTRACTOR NAME (if other than an Individual, state whether a corporation, partnership, etc) By Risk MANAGEMENT t)IVISION City of Santa Ana Work Center APPROVED AS TO FORM CONTRACTOR BUSINESS ADDRESS � _ GUIJ STATE ZIP 801 West Civic Center Drive, Suite 200 M. a Alert C•ty A ant A CA 92701 PRINTED NAME Or PERSON SIGNING SAM N Kristine Ridge Cit Mana� CONTRACTOR AUTHORIZED SIGNATURE DAT SIGNED Emploment Development Department CONTRACTING AGENCY ADDRESS CITY STATE ZIP 722 Capitol Mall, MIC 62-C Sacramento CA 95814 PRIMED NAME OF PERSON SIGNING TITLE Sheri L. Collins Manager, Contract Services Group AUTHORIZED SIGNATURE FOR APPROVAL: Steven A. Mendoza Community Development Executive Director ATT9911 AmP�� yf�- 9;OF THE COUNCIL Page 1 of 1 EDD Contract No. M9109990 Am 1 EDD/City of Santa Ana Work Center Page 1 of 2 EXHIBIT B (Standard Agreement) BUDGET DETAIL AND PAYMENT PROVISIONS 1. Invoicing and Payment a) The total amount of this Agreement shall not exceed Thirty One Thousand Four Hundred Sixty Dollars and Two Cents and ($31,460.02). b) Invoices may be submitted monthly in triplicate, in arrears, and must reference the EDD Agreement Number M9109990, and shall be forwarded to: • The EDD Contract Number • Identifies in detail the goods acquired, quantities, unit price, extension, description, etc. • Sales tax and/or use tax as a separate line item from goods • Identifies services (non -IT) provided, service period, unit price (i.e. hourly, monthly), and quantity applicable to the service • Accurate billing address as stated on the purchase order or contract • Supplier invoice date • Company name and remittance address Employment Development Department Attention: Ana Martini 801 West Santa Ana Blvd., Suite 200 Santa Ana, CA 92701 2. Budget Contingency Clause It is mutually understood between the parties that this Agreement may have been written before ascertaining the availability of congressional and legislative appropriation of funds, for the mutual benefit of both parties, in order to avoid program and fiscal delays which would occur if the Agreement were executed after that determination was made. This Agreement is valid and enforceable only if (1) sufficient funds are made available by the State Budget Act of the appropriate State Fiscal Year(s) covered by this Agreement for the purposes of this program; and (2) sufficient funds are made available to the State by the United States Government or by the State of California for the Fiscal Year(s) covered by this Agreement for the purposes of this program. In addition, this Agreement is subject to any additional restrictions, limitations or conditions established by the United States Government and/or the State of California, or any statute enacted by the Congress and Legislature, which may affect the provisions, terms or funding of the Agreement in any manner. The parties mutually agree that if the Congress and/or Legislature does not appropriate sufficient funds for the program, this Agreement shall be amended to reflect any reduction in funds. The EDD has the option to terminate the Agreement under the 30-day termination clause or to amend the Agreement to reflect any reduction of funds. EDD Contract No. M9109990 Am 1 EDD/City of Santa Ana Work Center Page 2 of 2 3. Prompt Payment Clause Payment will be made in accordance with, and within the time specified in, Government Code § 927, at seq. Oss GIFo N 7/1/19 To Whom It May In accordance, self -insured for acting in the cc official State bt. presented as a 414, West Sect The State of Cal through the State provides liability c employees for off Motor vehicle liab Risk and Insurarn 9052, (800) 9004 within six months Government Clair (Gov. Code sectic The State of Califo regarding workers' Code. Sincerely, Navdeep Mahl Associate Risk Ana Insurance Services Phone: (916) 376-5 Fax: (916) 376-5 To Office of Risk and 707 3rd Street tar DEPARTMENT OF AL SERVICES Governor Gavin STATE OF CALIFORNIA AND WORKERS' COMPENSATION II YEAR JULY 1, 2019 / JUNE 30, 2020 3ov rnment Code section 11007.4, the State of California hm Ity a posures. Under this form of Insurance, the State and its and cope of their employment are insured for tort liability ark >s. II claims against the State of California based on tort liab irnm nt claim to the Government Claims Program, P.O. Box £ Ito, A 9579&9052. (Gov. Code section 900, et. seq.) Inter nia hi s also elected to be insured for its motor vehicle liability i otor ehicle Liability Self -Insurance Program (VELSIP). This p ferag P arising out of the operations of motor vehicles used by ; al sta a business (California Vehicle Code Sections 17000 and y clai ns against the State of California should be presented to Manz gement, P.O. Box 989052 MS-403, West Sacramento, C 34, claimsa dos ca.cov. If your motor vehicle liability claim is n, )m the date of loss. California law requires you to file a formal i Pro ram, P.O. Box 989052 MS 414, West Sacramento, CA 9 900, t. seq.) Internet link: a Master Agreement with the State Compensation Ins sation benefits for all state employees, as required by / & APPROVED A gUMENT DIVISION 6 2019 A I. LAMBERT please submit to fiskmana, ice mi nagement I State of California I Government Operations no West Sacramento, CA 956051 t 9f6.376, 5300 f916.376.5277 era Reviewed by Audrey Goodso to be out of should be 152 MS link: 7001). is Office of 95798- resolved iim with the ice Fund Labor of l