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10
City of Pleasanton
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CITY CLERK
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AGENDA PACKETS
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2008
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081908
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10
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8/13/2008 3:29:46 PM
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8/13/2008 3:29:45 PM
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CITY CLERK
CITY CLERK - TYPE
STAFF REPORTS
DOCUMENT DATE
8/19/2008
DESTRUCT DATE
15 Y
DOCUMENT NO
10
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State of California-Business, Transportation and Housing Agency <br />DEPARTMENT OF CALIFORNIA HIGHWAY PATROL <br />Business Services Section <br />Contract Services Unit <br />P.O. Box 942898 <br />Sacramento, CA 94298-0001 <br />(916)375-2965 <br />(800) 735-2929 (TTITDD) <br />(800) 735-2922 (Voice) <br />July 28, 2008 <br />Pleasanton Police Department <br />4833 Bernal Avenue <br />Pleasantou, CA 94566 <br />Subject: Agreement Number 8C390005-0 <br /> <br />Complete the following marked item(s) and return to the above address within ten (10) business days: <br />!/ STD. 213, Standard Agreement with attached exhibits. Sign the first page of the STD. 213, sign the <br />additional single STD. 213, and return both copies. <br />STD. 213A, Standard Agreement Amendment. Sign the first page of the STD. 213A, sign the additional <br />single STD. 213A, and return both copies. <br />STD. 210, Short Form Contract. Sign and return both copies. <br />Letter of Agreement. Sign and return both copies. <br />STD. 204, Payee Data Record. Complete and return. <br />CCC, Contractor Certification Clauses. Complete and return. <br />Obtain and forward the liability insurance certificate required by the terms of the Agreement. <br />J Resolution, motion, order, or ordinance from the local governing body authorizing this Agreement. <br />STD. 807, Payment Bond. Complete and return one copy. <br />_ CHP 28, Voluntary Statistical Data. Complete and return. <br />!~ Other: CHP 78V -Conflict of Interest and Confidentiality Statement -Vendor <br />Contract status. <br />The enclosed agreement is signed on behalf of the Department of California Highway Patrol. Process and <br />when approved, return an original to [his office. <br />The enclosed approved agreement is for your records. You are now authorized to provide services. <br />TESSA GOMEZ <br />Contract Analyst <br />Enclosures <br />Safety, Service, and Security <br />ARNOLD SCHWARZENEGGER, Governor <br />srosi3 aw..n <br />
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