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DocuSign Envelope ID: 4E844E78-4F58-4861-819E-4AEA85D3A154 <br />Reset Form I FFrintForm ,.. SCQID: <br />A-2021-238-01 <br />C ON'TFACnNG AGENCY NAME <br />The California Department of Housing and Community Development <br />CONTRACTING AGENCY ADDRESS <br />CITY[STATE <br />ZIP <br />202.0 West El Camino Avenue <br />Sacramento <br />ICA <br />95833 <br />PRINTED NAME OF PERSON SIGNING <br />TITLE <br />Steven Del Rio <br />Chief, Business and Contract Services Branch <br />OOMRA=N.G AGENC(A TI-K RIZED SIGNATURE <br />DATE SIGNED <br />A W4/''` <br />213/22 <br />CALIFORNIA DEPARTMENT OF GENERAL SERVICES APPROVAL. <br />e(EMPTION(IEAppfo") <br />Exemptper; SCM Vol. 1 4.04.A.3 (DGS memo <br />dated 06/12/1981) <br />Page2of2 <br />