HomeMy WebLinkAboutCALIFORNIA, STATE OF, EMPLOYMENT DEVELOPMENT DEPARTMENT (2) - 2016City of Santa A..a
'i Clerk of the Council
AGREEMENT TERMINATION FORM
1018 nrT 22 M 4. 1
Please complete this form when the attached agreemer�h�CITY SAIYTA AN
amendments (if any) are no longer in effect. nnnnnn .(." CrjUN
Return form to the Clerk of the Council Office (M-30).
Call 647-6520 if you have any questions.
COTC Office Use Only
The agreement with
No. t� -7,0I 6-2-o-7--Q I was completed on
(List all amendments. Use space below if needed.)
(-913o 1 2-� V and final payment has been made.
Department: ��%� I �i� �k- Cer-
Phone/Ext.: 5C Z.Co 2-
Signature:
Date: LO I l iC ` 15
Revised 08-23-10
I�T
STATE OF CALIFORNIA
STANDARD AGREEMENT AMENDMENT
STD 213A Nve6103)
eX CHECK HERE IF ADDITIONAL PAGES ARE ATTACHED 3 _ Pages
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A-2016-202.01
1. This Agreement is entered into between the State Agency and the Contractor named below:
STATE AGENCY$ NAME---.�_.`_�
Employment Development Department
CONTRACTORS NAME
City of Santa Ana Work Center
2. The term of this
Agreement is: July 1, 2016 through June 30, 2018
3. The maximum amount of this $34,950.00
Agreement after this amendment is: Thirty Four Thousand Nine Hundred Fifty Dollars and No Cents
4. The parties mutually agree to this amendment as follows. All actions noted below are by this reference made a part
of the Agreement and incorporated herein;
That Agreement entered into July 1, 2016, by and between the Employment Development Department, hereinafter referred
to as EDD, and the City of Santa Ana Work Center, hereinafter referred to as Contractor, is hereby amended to:
Decrease the total amount of this Agreement by $242.00 due to reductions in phone lines.
Specific:
Delete Exhibit B, Budget Detail and Payment Provisions in its entirety and replace with the attached revised Exhibit B.
Delete Attachment B-1, Budget Detail in Its entirelty, and replace with the attached revised Attachment B-1.
Delete Attachment B-2, Contract Rate Sheet in its entirety and replace with the revised Attachment B-2.
Attorney
All other terms and conditions shall remain the same.
Maria D.
Clerk of the Council
IN WITNESS WHEREOF, ths-Agreement has been executed_ by thep_arties hereto.
CONTRACTOR CALIFORNIA
_.____..,—_.._..._ De artment of General Services
COMRAGTORS NAME pldher than an fntllvidual, spate whether a corperarwn, pertnerahtp, etc.) P
Use only
•��...� w^�-••-y .. �-• �- �..__r ___._ riease return an original
ADDRESS t"Aul executed agreement to our
722 Capitol Mall, MIC 62-C, Sacramento, CA 95814 Office (M-30: TI ! },
Exempt per:
DGS Exemption Letter No. 54.4
City of Santa Ana Work Center /
BY (Aufhai Sip tura)_ DATE SIGNED (Do not type)
�
PRINTED NAM ND TITLE OF P ON SIGNING
Cynthia J. Kurtz, In e6m City Manager
— -- -.
ADDRESS
1000 E Santa Ana Blvd Suite 200, Santa Ana, CA 92701
STATE OF CALIFORNIA
_
AGENCY NAME w m
Employment Development Department
'zed S(gnat
DATE
IGNED
!Do not type)
ti
It®
PRIN DNAhiE 41,10 TLEOFPERSONSIGNING ��
•��...� w^�-••-y .. �-• �- �..__r ___._ riease return an original
ADDRESS t"Aul executed agreement to our
722 Capitol Mall, MIC 62-C, Sacramento, CA 95814 Office (M-30: TI ! },
Exempt per:
DGS Exemption Letter No. 54.4
EDD Contract No. M7103008 Am. 1
EDD/City of Santa Ana
Page 1 of 1
EXHIBIT B
(Standard Agreement)
BUDGET DF,[AjL A ISD ��MENT PROVISIONS
1. Invoicing and Payment
a) The total amount of this Agreement shall not exceed Thirty Four Thousand Nine
Hundred Fifty Dollars and No Cents ($34,950.00).
b) Invoices may be submitted monthly In triplicate, in arrears, and must reference the EDD
Agreement Number M7103008, and shall be forwarded to:
Employment Development Department
Attention: Ana Martini, Operation Manager EPM II
1000 E. Santa Ana Blvd Suite 103
Santa Ana, CA 92701
2. Budget Contingency Clause
It is mutually understood between the parties that this Agreement may have been written
before ascertaining the availability of congressional and legislative appropriation of funds,
for the mutual benefit of both parties, in order to avoid program and fiscal delays which
would occur if the Agreement were executed after that determination was made.
This Agreement is valid and enforceable only if (1) sufficient funds are made available by
the State Budget Act of the appropriate State Fiscal Year(s) covered by this Agreement for
the purposes of this program; and (2) sufficient funds are made available to the State by the
United States Government or by the State of California for the Fiscal Year(s) covered by this
Agreement for the purposes of this program. In addition, this Agreement is subject to any
additional restrictions, limitations or conditions established by the United States Government
and/or the State of Califomia, or any statute enacted by the Congress and Legislature,
which may affect the provisions, terms or funding of the Agreement In any manner.
The parties mutually agree that if the Congress and/or Legislature does not appropriate
sufficient funds for the program, this Agreement shall be amended to reflect any reduction in
funds.
The EDD has the option to terminate the Agreement under the 30 -day termination clause or
to amend the Agreement to reflect any reduction of funds.
3. Promct Pavment Clause
Payment will be made in accordance with, and within the time specified in, Government
Code § 927, et seq.
Santa Ana Work Center -SANTA ANA BUDGET PAGE ATTACHMENT d 1
ITEM I DESCRIPTION MONTHLY ANNA
COST
PROJIACT
EXP COMME To
_.._._ COST COST7CENTEIR
OD
OD[Telephones
nta Anaaphonea
E ui meM/line rental, an oln , $1,173 $14,078
205/610
490 $34.50 rline 34 ar mo.lncl aharcost
for DID & Pt to IN clas
a hgnea irretallaSnn,One-Uma $0
2051610
410 Included in erunttcost
Lon atetence and tall eat. $272 $3264
00420
205!610nas
e hones Moves, Adds, Changes eec $79 $652
00420
205!690
41 p Includes InataUatibn and equ! mem
coat (ot unaMid etad
SUB -TOTALS $1,5161 $18,192---�---
17
i
Telephones $16,758
$16,192
$94,950 --
.---------
— .....--- .
EDD Contract No. 7103008 Am. 1
EDD/City of Santa Ana
Page 1 of 1
ATTACHMENT B•2
(Standard Agreement)
CONTRACT RATE SHEET
SANTA ANA ONE-STOP
Item
Basic rate for phone service including line,
Equipment, Voice mail and EDD's
share of DID and Pt -to -Pt circuits.
Long distance and toll charges including
incoming and outgoing calls.
Moves, Adds, and Changes (Technician)
City of Santa Ana as of 7/1/2017
Monthly Cost
$42.40 per line
Actual cost varies monthly and is
billed in arrears.
$ 85/hr. including equipment
AGREEMENT/SUMMARY AGREEMENT NUMBER
BrD.z}s (Ray 142013)BI AMENDMENT NUMBER
A[] .CHECK HERE IF ADDITIONAL PAGES ARE ATTACHED M7103008 1
.. _ ............._�—...m.. __---..-,�..._� __.___��
L DOMRACTOR'B NAME 3. fEDFAN.I.e. NUMBER
City of Santa Ana Work Center _
B. AGENCY TRANSMITTING AGREEMENT A. DIVISION, BUREAU. OR OTHER UNIT 1 AGENCY &LUNO CCOF
EDD/Employment Dev_elo_pment Department Contract Services Group _ 23336
C NAME AND TELEPHONE NUMBER OF CONTRACT ANALYST FOR QUESTIONS REGARDING THIS AGREEMENT W
Wanda Yanez (916) 654-0075 or WYanez@edd.ca.gov
HAS YOUR AGENCY COMMOTBQ POR THEMS SERVICES BEFORE?
ElNO 2YES us YES, enfvpeoreCUMClor Ramo endAgnament Number)
M595188
S BRIEF DEBCRIMION DF BBRVIClS�NMR 72 GHNUC}EROINCLUDINO PUNOTWTIONANO SPACES
City of Santa Ana Work Center - Telecommunications
B. AGREEMENTOUTUNE FMGFPF NAwtw ABmemAN Nen BN aPaGAvPm6bm, etlmiRlatnlive/pinmmenf.pmpmm�vedwalM1wvimmalanroamakMBMv ABmemeMnxveaa i; nrNao epeviNwwasuw Jorma end rnndMivnaj
Telephone contract renewal for the Santa Ana EDD Workforce Services at 1000 E Santa Ana Blvd., Santa Ana, CA.
Decrease the total amount of this Agreement by $242.00 due to reduction in phone lines.
MONTHLY FLAT RATE
® ITEMIZED INVOICE
[] REIMBURSABLEIREVENUE
(� OTHER (Explain)
❑ QUARTERLY 0 ONE-TIMEPAYMEM ❑ PROGRESS PAYMENT
El wITHHOLD % E] ADVANCED PAYMENT NOT TO EXCEED
S
OR %
11, PRCAtECTBDENPENDITURES
FUNOTUIEREM
F.Y.
CHAPTER
STATUTE
PROJECTED EXPENDITURES
LIA _
7100-001-0870
2016/2017
x 3
2016
$_(See Object Code)
OBJECT CODE 2016/2017 2051610-00420-410 $16,758.00
2017/2018205/610-00420-410$18,192.00
AGREEMENT TOTAL $
950.
34, 00
OPTIONAL USE
AMOUNT ENCUMBERED RY THIS DOCUMENT
$ 0.00
1 CER77PYupm my own penwrzlknowledwThat the LxGgtedfunds Per the cunett budget year arc araSible kr the pebd
andpemese o(the a 2uenatedabum
PRIOR AMOUNT ENCUMBERED FOR THIS AGREEMENT
$ 34,950.00
ACCOUm/}��,c OFFIC SSIGN 7URE
(yl Y0 17
DATE SIGNED j
TOTALAMOUNT ENCUMBERED TO DA TE
34,950.00
i2.
AGREEMENT
TERM
rom TnrougH
TOTAL COST OF
THIS TRANSACTION BID, SOLE SOURCE, EXEMPT
7/112016
6/30/2018
$
35,192.00 I
NOT BID - Local
_Original
Amendment No. 1
' 7!1!2016
6/3012018
$
(242.00)
NOT BID - Local
Amendment No.
Amendment No.
_
$
$
TOTAL
$
34,950.00
(Continue)
STATE OF CALIFORNIA
AGREEMENTISUMMARY
ST0218 (Rev U2082)
19 EI0OIN6 M8rHo0 USED
[.] REQUEST FOR PROPOSAL (RFP) (_ INVITATION FOR BID (IFB) (_,J USE OF MASTER SERVICE AGREEMENT
(A@acbjosMkathn llsecandery method Is used)
r] SOLE SOURCE CONTRACT EXEMPT FROM BIDDING AXI OTHER (Edam)
Whose STD 821) (Ow humanly nr exempt stases) Local
NOTE: ProWofaduankemanfm fire Slero Cantrecla Regtaleror an opprovetl tprm
STD 821, Contract Advomsing Eamphon Request, must be allecRed
11 summyoFams (list of blddW9 bra amount and small busnne,status) III an amendment "(a 9npm8 or exempt, leave blank)
15. IF AWAROOF AOflEEM@Nr19 TO OTHER THAN THE LOWER 8100ER, PLEASE EXPLAIN RRASON(Si (tran dmadme0l. 9d88oUICe. 018%empL Ia8V8 bPonkj
EDD is co -located with the City of Santa Ana Work Center
18 WHAT IBTHESA315 FOR OETERMININ6 TFGAt TRE PPoCE OR RATER R@ABONABLEi
NIA
1I. JV9TIFICATION FOn GONYgAGflNOOUT (CM1ak Pne
L Contracting out is based on cost sovings per Government Code 1g130(o).
The State Panoral Board has been so notified,
dusa8cadon
EDD is responsible for their share of phone service
L By cheching INS box, l hargky carfjry somWlanrae Milk Government Code oec0on 191321
+9. FOR AGREEMENTS IN EXCESS OF
$5000, HAS THE LETTING OF THE
AGREEMENT BEEN REPORTED TO
THE DEPARTMENT OF FAIR
EMPLOYMENT AND HOUSING?
(i h10 [AI YES ❑ N/A
EX Contracting out is justified based on Government Code 19130(b).
Just1fication for the Agreement is described below.
19. HAVE CONFLICT OF INTEREST ISSUE:
BEEN IDENTIFIED AND RESOLVED AS
REQUIRED BY THE STATE CONTRACT
MANUAL SECTION 7AD?
`. NO `, ,YES ® NIA
A. CONTRACTOR CERTIFICATION WA EE
D. STD. 204, VENDOR DATA RECORD
❑ ND t..J YES Ly WA ®ND LJ YES L NIA
23. R`RE,ummLEO VETERAN SUE
ILe1 NO (Explain below)
DISABLED VETERAN BUSINESS ENTERPRISES:
Explain:
NIA- exempt
113 NO lj YES ( tndcarotdustry Smup)
25. to TH19 AOAEEMENT ('MTM AMENOMEMS)FOR APERtObI
FX7 NOj YES
DYES (MYE3cvmplotemamitowing)
% OF AGREEMENT
all
eaf to
Associate Governmental
FOR CONSULTING AGREEMENTS, DID YOU REVIEW
ANY CONTRACTOR EVALUATIONS ON FILE WITH THE
DGS LEGAL OFFICE?
F1 NO
22 RSOUIRSI
NO
will co forxNo
YES NONE MA
F. YES EXI NIA