HomeMy WebLinkAboutCA EMPLOYMENT DEV DEPT 1B - 2003 co ~ _ A-2003-150
Ah~endment to ~ST. /~
STANDARD AGREEMENT FOR EMPLOYMENT SERVICES
INSURANCE NOT REQUIRED
WORK MAY PROCEED
CLERK OF COUNCIL
DATE: ~ ' ~ ~9.~.~
COPY
M381701-a2
EDD Contract No.
That Agreement entered into the 1st day of June 2002 by and between
City of Santa Ana, hereinafter referred to as the "Administrative Entity," and the
Employment Development Department of the State of California, hereinafter referred to as
"EDD" Is hereby amended effective June 1, 2003 to:
Extend the term of the contract 3 months through September 30, 2003.
Except as hereby amended, all terms and conditions of the agreement remain unchanged
and in full force and effect.
EDD
Employment Development Department
grinted N~e~Tit~'of Person Signing
Donna '1~ SJ~fle
Acting Di~n Chief- Southern Job Service Division
Address:
8977 Activity.Road # A
San Diego, CA 92126
/'~/U l( ~
Printed Name 'and Title of Person Signing
David N. Ream
City Manager
Address:
P.O. Box 1988-M31
Santa Ana CA 92702
TO ~ORM ...
-' - ~7<~-I~'~INE LEE SHAW
D'"e~y City Attornev
DEPARTMENT OF GENERAL SERVICES USE ONLY
DE 8798A Rev 1 (12-95) State of California/Employment Development Department
CERTIFICATION REGARDING SIGNATORY AUTHORITY
TO ENTER INTO AN AGREEMENT VVlTH THE
STATE OF CALIFORNIA
EMPLOYMENT DEVELOPMENT DEPARTMENT
The undersigned certifies and warrants on his or her own behalf that as the
signatory to this Agreement, he or she has the authority to execute this
Agreement on behalf of their respective entity.
This certification is a material representation of fact upon which reliance
was placed this transaction was made or entered into. Submission of this
certification is a prerequisite for making or entering into this transaction.
City of Santa Ana
Contractor Organization Name
David N. Ream, City Manager
Name and Title of Authorized Signatory
Signature
Date
J;~ATRICIA E. H£ALY
J~J?K Ol~' Ti~ cGUNCIL
~ep~CE LEE S''A'v
ity Attorney