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INSURANCE NOT REQUIRED <br />WORK MAY PROCEED <br />CLERK OF C(A fiRID: 5160-31888 <br />N-2022-031 <br />STATE OF CALIFORNIA -DEPARTMENT ghTENERAL SERVICES <br />STANDARD AGREEMENT FEBt�p AGREEMENTNL <br />FED STD 213 (Rev.04/2020) 0 e7 202�1 � 1 31888 <br />PURCHASING AUTHORITY NUMBER <br />CONTRACTING AGENCY NAME <br />Department of Rehabilitation <br />CONTRACTOR NAME <br />City of Santa Ana <br />2. The term of this Agreement Is: <br />START DATE <br />July 1, 2020 <br />THROUGHENDDATE <br />June30,2021 <br />3. The maximum amount of this Agreement is: <br />$7,575.96 <br />4. T e parties agree tocomp ywith t e terms and conditions of thefollowing exhibits, which are by this reference made a part of the Agreement. <br />Exhibits <br />Title <br />Pages <br />Exhibit A <br />Scope of Work <br />1 <br />Exhibit A.1 <br />Contractor's Program Scope of Work <br />3 <br />Exhibit B <br />Budget Detail and Payment Provisions <br />4 <br />Exhibit B.1 <br />Contractor's Program Budget(s) and Narrative(s) <br />2 <br />ExhibitC* <br />General Terms and Conditions GTC04/2017 (Dated04/2017) <br />1 <br />Exhibit D <br />Special Terms and Conditions (Attached hereto as part of this agreement) <br />8 <br />Exhibit <br />Additional Provisions- Federally Funded Agreements <br />3 <br />. <br />Exhibit F <br />Additional Provisions - Cooperative/Case Services <br />2 <br />+. <br />Exhibit G <br />Additional Provisions— Contract Monitoring and Reporting <br />1 <br />Items shown with an asterisk (1, are hereby incorporated by reference and made part or this agreement as Itattachedhereto. <br />CONTRACTOR <br />CONTRACTOR NAME (if other than an individual, state whether a corporation, partnership, etc.) <br />City of Santa Ana AJCC <br />20 Civic Center Plaza P.O. Box 1964 (Santa Ana <br />SIGNING <br />Kristine <br />CONTRACTOR AUTHORIZED SIGNATURE DATE SIGNED <br />Apgr d s to form, ATTSSTe ri t:CONIMENDED FOR APPROVAL: <br />Ryat O. By: <br />edge 71, <br />Assistant City Attorney Steven A. Mendoza <br />City ClerCommunity Development Executive Director Page 1 of 2 <br />