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05
City of Pleasanton
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CITY CLERK
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AGENDA PACKETS
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2012
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040312
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05
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3/28/2012 4:47:11 PM
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3/28/2012 4:47:08 PM
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CITY CLERK
CITY CLERK - TYPE
AGENDA REPORT
DOCUMENT DATE
4/3/2012
DESTRUCT DATE
15Y
DOCUMENT NO
05
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ATTACHMENT2 <br /> STATE OF CALIFORNIA <br /> STANDARD AGREEMENT <br /> STD 213(Rev 06/03) <br /> AGREEMENT NUMBER <br /> C1100190 <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 Pleasanton <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.dos.ca.gov/Standard+Lanquage/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 Pleasanton <br /> BY(Authorized Signature) DATE SIGN ED(Do not type) <br /> -E <br /> PRINTED NAME AND TITLE OF PERSON SIGNING <br /> ADDRESS <br /> PO Box 520, Pleasanton, CA 94566 <br /> STATE OF CALIFORNIA <br /> AGENCY NAME <br /> Franchise Tax Board <br /> BY(Authorized Signature) DATE SIGNED(Do not type) <br /> ,@S <br /> PRINTED NAME AND TITLE OF PERSON SIGNING ® 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 />
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