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, <br /> STATE OF CALIFORNIAIII 1111 <br /> STANDARD AGREEMENT <br /> STD 213(Rev 06/03) <br /> AGREEMENT NUMBER <br /> C1100230 <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, 2012 through December 31, 2014 <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 www.ols.dgs.ca.gov/Standard+Language/default.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 Rancho Palos Verdes <br /> BY(Aut - •ign-ture) DATEGNEDiDo not type) <br /> ti• <br /> RS All -. 11/3//2--- <br /> PRINTED NAME AND TITLE 0-PERSON SIGNING <br /> ArithDrt1/ Mayor <br /> MkMk <br /> ADDRESS <br /> 30940 Hawthorne Blvd., Rancho Palos Verdes, CA 90275 <br /> STATE OF CALIFORNIA <br /> AGENCY NAME <br /> Franchise Tax Board <br /> BY(Authorzed Signature) DATE SIGNED(Do not type) <br /> ,iiiK CeliC)— 9- rCA _ ez,.//?_ <br /> PRINTED NAME AND TITLE OF PERSON SI NING ® Exempt per: SCM 4.04.5.b. <br /> Lisa Garrison, Chief Financial Officer <br /> ADDRESS <br /> P.O. Box 2086, Rancho Cordova, CA 95741-2086 <br />