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STATE OF CALIFORNIA <br /> STANDARD AGREEMENT <br /> STD 213(Rev 06/03) <br /> AGREEMENT NUMBER <br /> C1400220 <br /> REGISTRATION NUMBER <br /> 1. This Agreement is entered into between the State Agency and the Contractor named below: <br /> STATE AGENCY'S NAME <br /> Franchise Tax Board <br /> CONTRACTOR'S NAME <br /> City of Rancho Palos Verdes <br /> 2. The term of this <br /> Agreement is: June 1, 2015 through December 31, 2017 <br /> 3. The maximum amount $0.00 <br /> of this Agreement is: NON-FINANCIAL AGREEMENT <br /> 4. The parties agree to comply with the terms and conditions of the following exhibits,which are by this reference made <br /> a part of the Agreement. <br /> Exhibit A—Scope of Work 3 pages <br /> Exhibit C*—General Terms and Conditions GTC610 <br /> Exhibit D -Special Terms and Conditions 3 pages <br /> Exhibit E-City Record Layout Specifications 2 pages <br /> Exhibit F- FTB Record Layout Specifications 1 page <br /> Exhibit G—Confidentiality Statement 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 http://www.dqs.ca.qov/o!s/Resources/StandardContractLanquage.aspx <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 Rancho Palos Verdes <br /> BY(Authorized Signature) ` DATE SIGNED(Do not type) <br /> -1E5 M A t)ea52, 11' q r 14:) i tr- <br /> OD <br /> ED NAME AND TITLE OF PERSON SIGNING <br /> dVIIV 1 t L � tN'-e C` 41 ti"(F <br /> moi✓ <br /> ADDRESS <br /> 30940 Hawthorne Blvd, Rancho Palos Verdes, CA 90275 <br /> STATE OF CALIFORNIA <br /> AGENCY NAME <br /> Franchise Tax Board <br /> 13:0( d Si DATES N E (Do not type) <br /> ,e5 i Al(tr <br /> PRINTED NAME AND TLE OF PERS N SIGNING ® Exempt per: SCM 1 -4.04.A.2 <br /> Michael A. Banuelos, Procurement and Contracting Officer or Designee <br /> ADDRESS <br /> P.O. Box 2086, Rancho Cordova, CA 95741-2086 <br />