STATE OF CALIFORNIA DEPARTMENT OF GENERAL SERVICE
PARTICIPATING ADDENDUM NUMBER
CONTRACT NO. SLP-25-70-0003Z
SHI INTERNATIONAL CORP
APPROVED:
CITY OF MERCED
A California Charter Municipal
Corporation
BY:
D. Scott McBride
City Manager
ATTEST:
D. SCOTT MCBRIDE, CITY CLERK
BY:
Assistant/Deputy City Clerk
APPROVED AS TO FORM:
CRAIG J. CORNWELL, CITY ATTORNEY
BY: Griz Cornwell 414-2026
ACCOUNT DATA:
M. VENUS RODRIGUEZ
BY:
Verified by Finance Officer
Procurement Division
CALIFORNIA DEPARTMENT OF
DGS GENERAL SERVICES 707 Third Street, 2nd Floor, MS #2-202 West Sacramento, CA 95605-2811
State of California
SOFTWARE LICENSING PROGRAM (SLP) AGREEMENT
softwarelicensingprogram
Contractor: SHI International Corp.
Contract Number: SLP-25-70-0003Z
SLP Contract Term: 09/25/2025 through 08/01/2028
Contract Base: Keeper Security Offer Number KEEPERSECURITY-SLP-25 This contract is available for use by State of California departments and any city, county, special pistic eds, inal ane state cakes er mental var corporatin local agency should. make its own determination whether the SLP is consistent with their procurement policies and regulations.
The SLP Contractor is required to provide all SLP contract terms and conditions with the list of products, services and prices.
Terms and conditions listed below are hereby incorporated by reference and made a part of this SLP Agreement as if attached herein and shall apply to the purchase of goods or services made under this Participating Agreement. Contractor non-compliance with the requirements of this contract may result in contract termination.
By signing below, Contractor agrees to the Informational Technology - General Provisions (Non-Cloud Goods and Services and Cloud Computing Services) dated February 20, 2025, and all other provisions included herein. 1) Information Technology - General Provisions - Non-Cloud Goods & Services, DGS PD 403-ITGP (Non-Cloud), effective 02/20/2025
2) Information Technology - General Provisions Cloud - Computing Services, DGS PD 402-ITGP (Cloud). effective 02/20/2025
For State of CA: For Contractor:
Digitally signed by - DocuSigned by:
Kimberley Kimberley Hettrick
Hettrick Date: 2025.10.09 Paul Lihard
16:26:51 -07'00'
For Stephanne Lim Signate 70D...
Manager Sr. Lead Contracts Specialist
Multiple Award Programs Section
Procurement Division Printed Title
Department of General Services Paul Linhardt
10/9/25 Printed Name
Date SHI International Corp.
Company Name
9/25/2025
Date
Procurement Division | State of California | California Government Operations Agency 707 3rd Street, 2ndFloor | West Sacramento, CA 95605 | t 916.375-4400
SOFTWARE LICENSING PROGRAM (SLP)
SHI INTERNATIONAL CORP.
SLP-25-70-0003Z
CONTRACTOR PROVIDES COPY OF Reports that include paper checks for THE CONTRACT AND SUPPLEMENTS quarterly incentive fees must be mailed and shall not be emailed.
The SLP Contractors are required to
For the full instructions on completing and
provide the entire contract that consists of
submitting SLP Quarterly Business Activity
the following: Reports, reference "ATTACHMENT A" of
• SLP Cover sheet with signatures from this agreement.
the DGS Procurement Division Deputy Important things to remember regarding Director or designee and Contractor. SLP Quarterly Business Activity Reports:
• Ordering instructions. • A report is required for each SLP, each • Std. 204 Payee Data Record. quarter, even when no new purchase orders are received in the quarter.
• SLP Contract terms and conditions
• A separate report is required for each
(General provisions).
SLP agreement.
• Software License Agreement pricing.
• Each purchase order must be
• Supplements, if applicable reported only once in the quarter identified by the purchase order
CONTRACTOR QUARTERLY REPORTS date, regardless of when the services were performed, the
SLP Contractors are required to submit products were delivered, the invoice a detailed SLP Business Activity Report was sent, or the payment was on a quarterly basis to the SLP Unit. received.
SLP Quarterly Business Activity Reports are Purchase orders from State and local due to the SLP Unit within two weeks after government agencies must be the end of each quarter as shown below: separated on the report, as shown in the instructions.
Quarter Reporting Period Due Date
• Any report that does not follow the
Quarter 1 Jan 1 to Mar 31 Due Apr 15 required format or excludes required Quarter 2 Apr 1 to Jun 30 Due Jul 15
information will be deemed incomplete
Quarter 3 Jul 1 to Sep 30 Due Oct 15
and returned to the SLP contractor for
Quarter 4 Oct 1 to Dec 31 Due Jan 15 corrections.
This report shall be emailed to the SLP • Taxes and freight must not be included Unit general e-mail: in the report.
• New SLP agreements, renewals, and
[email protected] amendments will be approved only if
the SLP contractor has submitted all
Alternatively, this report can be mailed to:
required quarterly reports and incentive
Department of General Services fees.
Procurement Division - SLP Unit • A quarterly report is required even Attention: Quarterly Report Processing when there is no activity. 707 Third Street, MS #2-202
West Sacramento, CA 95605
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CONTRACTOR QUARTERLY • State Agency Bill Code
INCENTIVE FEES • Line item number
All SLP contractors, including certified • Extended line item price Small Businesses and Disabled Veteran
Business Enterprises, will be required to
pay incentive fees for all orders placed by State sales tax and/or use tax shall be local government agencies. See the itemized separately and added to each current incentive fees in the DGS Price invoice as applicable. The company name Book (https://www.dgs.ca.gov/OFS/Price- on the SLP contract, purchase order and Book). invoice must match or the State
A local government agency is any city, Controller's Office will not approve county, district, or other local governmental payment.
body, including the California State CONTRACTOR OWNERSHIP University (CSU) and University of INFORMATION
California (UC) systems, K-12 public
schools and community colleges SHI International Corp. is a large business empowered to expend public funds. enterprise.
Local incentive fee payments may be AGENCY NON-COMPLIANCE made with a paper check, electronic check
or credit card. Agency non-compliance with the
requirements of this contract may result in
Contractor may make an electronic check
the loss of delegated purchasing authority
or credit card payment through the LPA to use the SLP.
Payment Portal
(https://www.dgs.ca.gov/PD/Services/Page PLEASE REQUEST A COPY OF ALL -Content/Procurement-Division-Services- CONTRACT TERMS AND CONDITIONS List-Folder/Access-LPA-Payment-Portal). FROM THE CONTRACTOR, IF NOT If payment is made with a paper check, the PROVIDED INITIALLY. check shall be made payable to the
Department of General Services, SLP Unit, AVAILABLE PRODUCTS AND/OR and must be mailed to the SLP Unit along SERVICES
with the applicable Quarterly Report.
See the provision in this SLP entitled This contract may provide for the purchase "Contractor Quarterly Report Process" for and warranty of software, software information on when and where to send maialation, So tavare as a sporte, aning. these checks and reports.
implementation services.
CONTRACTOR INVOICES
Unless otherwise stipulated, the contractor Only products and services that are must send their invoices to the department proprietary to the manufacturer listed below are available within the scope of this
address set forth in the purchase order.
Invoices shall be submitted in triplicate and
shall include the following:
• Keeper Security
• Contract number
• Agency purchase order number
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SLP-25-70-0003Z
UNAVAILABLE PRODUCTS AND/OR IMPLEMENTATION SERVICES
SERVICES
Before procuring Implementation Services,
The following products and/or services are state departments should conduct an not available under this contract: analysis and use their own due diligence to determine if these services are the most
• STANDALONE HARDWARE cost effective solution that meets their • CONSULTING business needs and security requirements.
• TELECOMMUNICATION PRODUCTS
• CLOUD: IAAS/PAAS Requirements
Notice to State Agencies: Software • State departments must complete a appliances/hardware products offered Statement of Work (SOW) for all under the Software Publisher's pricelist are Implementation services.
NOT available under the Software • Job titles/categories are limited to those Licensing Program (SLP) if the same type identified in the SLP price list. of software appliance/hardware products
are currently available under any • Hourly rates must not exceed those mandatory Statewide Contract. State identified in the SLP price list. agencies who want to purchase a software • Implementation services can only be appliance/hardware product type, other purchased when they are in support of than what is available through a software purchased under the SLP. mandatory Statewide Contract must submit
• Time and Material pricing must not
an exemption request to the mandatory
Statewide Contract Administrator. For exceed the job Title hourly rate times more information and the required the number of hours to complete the job. justification forms regarding the exemption NOTE: Implementation Services under process, please refer to the following this contract must be paid in arrears. website:
https://www.dgs.ca.gov/PD/Services/Page- ACQUISITION OF IAAS AND/OR PAAS Content/Procurement-Division-Services-
List-Folder/Request-an-IT-Hardware- If using this SLP for the purpose of Contract-Exemption. This restriction does acquiring Infrastructure as a Service (laaS) not apply to local governmental agencies. and/or Platform as a Service (PaaS), State agencies must first obtain approval to use
INSTALLATION SERVICES this SLP by the California Department of Technology (CDT) in accordance with IL
• Installation Services can only be 23-03 (https://cdt.ca.gov/policy/technology- purchased when they are in support of letters/technology-letter-23-03-2/). State software purchased under this SLP agencies must document CDT's approval contract. and maintain in the procurement file.
• Installation Services must not exceed Contact CDT for all questions related to the total cost of the software. the acquisition of laaS and PaaS and TL 23-03.
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SOFTWARE MAINTENANCE, SHIPPING INSTRUCTIONS
SUBSCRIPTION AND SAAS RENEWALS
F.O.B. (Free On Board) Destination
Software Maintenance, Subscription and
SaaS renewals shall be fixed at the DELIVERY
agency's prior applicable SLP rates (or
lower), with a 0% uplift (no up-lift) and no 30 days after receipt of order, or as additional increases, fees or charges negotiated between agency and Contractor and included in the purchase order.
added, for the duration of this SLP
contract.
AGENCY RESPONSIBILITY
SERVICE CREDITS Agencies must contact contractors to
Service credits are acceptable only if they obtain copies of the contracts and compare meet the following requirements: them for a best value purchasing decision. • Service credits must be used for Each agency is responsible for its own training, certifications, or support and contracting program and purchasing must never expire even when this decisions, including use of the SLP contract term ends. program and associated outcomes.
• Unused service credits can be used for This responsibility includes, but is not other services such as training, necessarily limited to, ensuring the certification, or support. Example: If necessity of the services, securing $1,000 is purchased in training credits appropriate funding, complying with laws but is not fully utilized, the department and policies, preparing the purchase order may use the remainder of unused in a manner that safeguards the State's credits for certifications or support. interests, obtaining required approvals, and documenting compliance with Government
ISSUE PURCHASE ORDER TO Code 19130.b (3) for outsourcing services.
Agency purchase orders must be mailed to It is the responsibility of each agency to the following address, or e-mailed: consult as applicable with their legal staff and contracting offices for advice
SHI International Corp. depending upon the scope or complexity of 290 Davidson Ave. the purchase order.
Somerset, NJ 08873
Attn: Chris Gohl If you do not have legal services available to you within your agency, the DGS Office
Agencies with questions regarding of Legal Services is available to provide products and/or services may contact the services on a contractual basis. contractor as follows:
ORDER REQUIREMENTS AND
Phone: (916) 790-4078 MAXIMUM ORDER LIMIT
E-mail: Chris [email protected]
• Unless otherwise determined by an
individual ordering agency purchasing
authority, no SLP order may be
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executed by a State agency that and reasonable method can only be exceeds that agency's purchasing used for non-customizable purchases. authority threshold. State agencies with
approved purchasing authority, along • Local governments set their own order with their dollar thresholds can be limits.
obtained at the List of State
Departments with Approved Purchasing SPLITTING ORDERS
Authority.
Splitting orders to avoid any monetary
• Agencies must adhere to the detailed limitations is prohibited. Do not circumvent requirements in the State Contracting normal procurement methods by splitting Manual (SCM) when using SLP purchases into a series of delegated contracts. The requirements for the purchase orders per PCC 10329. Splitting following bullets are in the SCM, Volume a project into small projects to avoid either 2, (for IT): If soliciting offers from a fiscal or procedural controls is prohibited certified DVBE, include the Disabled per State Administrative Manual (SAM) Veteran Business Enterprise 4819.34.
Declarations form (Std. 843) in the
Request for Offer. This declaration This provision does not apply to local must be completed and returned by the government agencies.
DVBE prime contractor and/or any
DVBE subcontractors. (See the SCM MINIMUM ORDER LIMITATION Volume 2, Chapter 1200) There is no minimum dollar value limitation on orders placed under this contract.
• This is not a bid transaction, so the
small business preference, DVBE ORDERING PROCEDURES
participation goals, protest language,
intents to award, evaluation criteria, 1. Order Form
advertising, etc., are not applicable.
State departments shall use a
• If less than 3 offers are received, State Contract/Delegation Purchase Order agencies must document their file with (Std. 65) for purchases and services. the reasons why the other suppliers
solicited did not respond with an offer. Local governments shall, in lieu of the State's Purchase Order (Std. 65), use
• Assess the offers received using best their own purchase order document. value methodology, with cost as one of
the criteria. Electronic copies of the State Standard
Forms can be found at the Office of
• Issue a Purchase Order to the selected State Publishing web site:
contractor. http://www.dgs.ca.gov/osp(select
Standard Forms). The site provides
• For SLP transactions under $10,000, information on the various forms and only one offer is required if the State use with the Adobe Acrobat Reader. agency can establish and document that Beyond the Reader capabilities, Adobe the price is fair and reasonable. The fair Acrobat advanced features may be BUILDING GREEN • BUYING GREEN WORKING GREEN 6
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utilized if you have Adobe Business included in the order, not just system Tools or Adobe Acrobat 4.0 installed on totals.
your computer. Direct link to the
Standard Form 65: The contractor must immediately reject (http://www.osp.dgs.ca.gov/pdf/std065.p orders that are not accurate. df) Discrepancies are to be negotiated and
incorporated into the order prior to the
2. Purchase Orders products and services being delivered.
All Ordering Agency purchase order 3. Service and Delivery after Contract documents executed under this SLP Expiration
must contain the applicable SLP
contract number as show on page 1. Purchase orders must be issued before the SLP contract end term expires.
a. State Departments:
Also, purchase order amendments
Std. 65 Purchase Documents - State cannot be issued to add product and departments not transacting in software maintenance if the SLP FI$Cal must use the Purchasing contract end term has expired.
Authority Purchase Order (Std. 65)
for purchase execution. An electronic GENERATIVE ARTIFICIAL version of the Std. 65 is available at INTELLIGENCE (GENAI) the DGS-PD website at
http://www.dgs.ca.gov/ State agencies must follow the required pd/Forms.aspx (select Standard STD GenAl purchase procedures outlined in the Forms). State Contracting Manual (SCM) and the
California Department of Technology
FI$Cal Purchase Documents - State GenAl policies.
departments transacting in FISCal
will follow the FI$Cal procurement CONTRACT PRICES
and contracting procedures.
Contract prices for products and/or
b. Local Governmental Departments: services are maximums. The ordering department is encouraged to negotiate
Local governmental agencies may lower prices.
use their own purchase document
for purchase execution. PRODUCT AND PRICING CHANGES
AND/OR UPDATES ARE NOT
The agency is required to complete and AUTHORIZED UNTIL REVIEWED AND distribute the order form. For services, APPROVED BY DGS PROCUREMENT the agency shall modify the information DIVISION SOFTWARE LICENSING contained on the order to include the PROGRAM.
service period (start and end date), and
the monthly cost (or other intermittent Said documents are to be sent to the cost), and any other information Department of General Services (DGS) pertinent to the services being provided. Procurement Division, Software Licensing The cost for each line item should be Program, 707 Third Street, 2nd Floor, West BUILDING GREEN BUYING GREEN WORKING GREEN 7
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Sacramento, CA 95605-2811, Attention by the Contractor to each small SLP Unit. business or DVBE.
2. The Contractor will provide an ordering
CONTRACT EXTENSIONS department with the following
information at the time the order is
The initial term of this SLP contract is 3 quoted:
years and may be extended for an
additional 2-years, however an amendment a. The Contractor will state that, as the must be issued prior to contract end date. prime Contractor, it shall be responsible for the overall execution
NOTE: Extensions are optional and are of the fulfillment of the order. at the discretion of the state.
b. The Contractor will indicate to the
SMALL BUSINESS MUST BE ordering department how the order CONSIDERED meets the small business or DVBE
goal, as follows:
Prior to placing orders under the SLP, state
departments shall, whenever practicable, • List the name of each company first consider offers from small businesses that is certified by the Office of that have established SLP contracts [GC Small Business and DVBE Section 14846(b)]. NOTE: The Certification that it intends to Department of General Services auditors subcontract a commercially will request substantiation of compliance useful function to; and with this requirement when department
files are reviewed. • Include the small business or
DVBE certification number of
SMALL BUSINESS/DVBE - TRACKING each company listed, and attach a copy of each certification; and
State departments are able to claim
• Indicate the dollar amount of
subcontracting dollars towards their small each subcontract with a small business or DVBE goals whenever the
business or DVBE that may be
Contractor subcontracts a commercially
claimed by the ordering
useful function to a certified small business
department towards the small
or DVBE. The Contractor will provide the business or DVBE goal; and ordering department with the name of the
small business or DVBE used and the • Indicate what commercially dollar amount the ordering department can useful function the small apply towards its small business or DVBE business or DVBE subcontractor goal. will be providing towards
fulfillment of the order.
SMALL BUSINESS/DVBE -
SUBCONTRACTING 3. The ordering department's purchase
order must be addressed to the prime
1. The amount an ordering department Contractor, and the purchase order can claim towards achieving its small must reference the information provided business or DVBE goals is the dollar by the prime Contractor as outlined amount of the subcontract award made above.
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CERTIFICATION OF PAYMENT the SCM, Volume 2, Chapter 1000, Section OPTIONS - Military & Vets Code $§999.5 1007.
and 999.7(a) (SB588)
Each equipment or software component
In accordance with the State Contracting must be in current operation for a paying Manual, Volume 2, Section 1203.1, State customer and the paying customer must be departments shall require the Contractor to external to the contractor's organization submit a complete an accurate Prime (not owned by the contractor and not Contractor's Certification - DVBE owning the contractor).
Subcontracting Report (STD. 817) upon
acceptance of ordered goods or services To substantiate compliance with the for which the Contractor committed to Productive Use Requirements, the SLP DVBE subcontractor participation. contractor must provide upon request the name and address of a customer
Upon delivery or completion of ordered installation and the name and telephone goods or services, State departments shall number of a contact person. do the following:
• Provide proper withhold notification to The elapsed time such equipment or software must have been in operation is
prime contractors.
based upon the importance of the
• Withhold $10,000 or the full amount of equipment or software for system the final invoice if less than $10,000 operation and its cost. The following pending receipt of the complete and designates product categories and the accurate STD 817. required period of time for equipment or • Review the STD 817. If it is determined software operation prior to approval of the to be complete and accurate, authorize replacement item on SLP. payment of the withhold.
Category 1 - Critical Software: Critical
• If the STD 817 is late or incomplete, software is software that is required to department must send the prime control the overall operation of a computer contractor a cure notice allowing at system or peripheral equipment. Included least 15 days, but not more than 30 in this category are operating systems, days, to meet the Certification of data base management systems, language Payments to DVBE Subcontractors interpreters, assemblers and compilers, requirements. communications software, and other
essential system software.
• If the prime contractor does not comply
by the identified deadline, permanently
deduct the withhold. Final Bid
Cost Installation Submission
• Retain all records for a minimum of six
More than
years. $100,000 8 months 6 months
$10,000 up to
PRODUCTIVE USE REQUIREMENTS 4 months 3 months
$100,000
The customer in-use requirement applies Less than
$10,000 1 month 1 month
to all procurements of information
technology equipment and software, per
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Category 2 - All Information Technology pertains to all the different and unique state processes has been included.
TERMINATION OF SLP CONTRACT
(SAM) § 4819.2.
1. The State or Contractor may terminate
Final Bid this SLP Contract at any time upon 30
Cost Installation Submission days prior notice.
More than 2. Upon termination or other expiration of
$100,000 6 months 4 months this Contract, each party will assist the $10,000 up to other party in orderly termination of the $100,000 4 months 3 months Contract and the transfer of all assets, Less than tangible and intangible, as may
$10,000 1 month 1 month facilitate the orderly, nondisrupted business continuation of each party.
STATE AND LOCAL GOVERNMENTS 3. This provision shall not relieve the
CAN USE THE SLP
Contractor of the obligation to perform
State and local government use of the SLP under any purchase order or other contracts is optional. A local government similar ordering document executed is any city, county, special district or other prior to the termination becoming local governmental body or corporation, effective.
including UC, K-12 schools and community
colleges, that is empowered to expend STATEWIDE PROCUREMENT public funds. While the state makes this REQUIREMENTS
contract available, each local government Departments must carefully review and agency should make its own determination
adhere to the following Procurement
whether the SLP is consistent with their
Requirements, such as:
procurement policies and regulations.
• SAM Section 4819.41 and 4832
APPLICABLE CODES, POLICIES AND
certifications for information technology
GUIDELINES
procurements and compliance with
All California codes, policies and guidelines policies. are applicable. THE USE OF THE SLP • Services may not be paid for in DOES NOT REDUCE OR RELIEVE advance.
STATE DEPARTMENTS OF THEIR
RESPONSIBILITY TO MEET STATEWIDE • Departments are required to file with the Department of Fair Employment and
REQUIREMENTS REGARDING
Housing (DFEH) a Contract Award
CONTRACTING OR THE
PROCUREMENT OF GOODS OR Report Std. 16 for each order over $5,000 within 10 days of award,
SERVICES. Most procurement and
contract codes, policies, and guidelines are including supplements that exceed incorporated into The SLP contracts. $5,000.
Notwithstanding this, there is no guarantee • Pursuant to Unemployment Insurance that "every" possible requirement that Code Section 1088.8, state and local BUILDING GREEN • BUYING GREEN WORKING GREEN 10
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government agencies must report to the acceptance of goods or performance of Employment Development Department services; or (i) receipt of an undisputed (EDD) all payments for services that invoice, whichever is later. equal $600 or more to independent sole
proprietor contractors. See the 2. Advance Payments
contractor's Std. Form 204, Payee Data
Record, in the SLP contract to Advance payment is allowed for determine sole proprietorship. All services only under limited, narrowly inquiries regarding this subject should defined circumstances, e.g. between be forwarded to EDD: Technical specific departments and certain types questions: 916/651-6945 or Information of non-profit organizations, or when and forms: 916/657-0529. paying another government agency (Government Code (GC) § 11256 -
• Annual small business and disabled 11263 and 11019).
veteran reports.
It is NOT acceptable to pay in advance,
ETHNICITY/RACE/GENDER REPORTING except software maintenance and REQUIREMENT license fees, which are considered a
subscription and may be paid in
Effective July 1, 2002, in accordance with advance if a provision addressing Public Contract Code 10116, state payment in advance is included in the departments are to capture information on purchase order. ethnicity, race, and gender of business
owners (not subcontractors) for all Software warranty upgrades and awarded contracts, including CAL-Card extensions may also be paid for in transactions. Each department is required advance, one time. to independently report this information to
the Governor and the Legislature on an 3. Payee Data Record (Std. 204) annual basis.
State Agencies not transacting in
Departments are responsible for FI$Cal, must obtain a copy of the developing their own guidelines and forms Payee Data Record (Std. 204) in order for collecting and reporting this information, to process payments. State Ordering Agencies forward a copy of the Std.
Contractor participation is voluntary. 204 to their accounting office(s).
Without the Std. 204, payment may be
PAYMENTS AND INVOICES unnecessarily delayed. State Agencies should contact the Contractor for copies
1. Payment Terms of the Payee Data Record
Payment will be made in accordance 4. DGS Administrative Fees with the provisions of the California
Prompt Payment Act, Government Orders from State Agencies:
Code Section 927 et. seq. Unless
expressly exempted by statute, the Act The Department of General Services requires State agencies to pay properly (DGS) will bill each State agency submitted, undisputed invoices not directly an administrative fee for use of more than 45 days after (i) the date of
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SLP contracts. The administrative fee Faxination no.: 916/376-6371 should NOT be included in the order
total, nor remitted before an invoice is
received from DGS.
5. Credit Card
The Contractor accepts the State of
California credit card (CAL-Card).
A Purchasing Authority Purchase Order
(Std. 65) is required even when the
ordering department chooses to pay the
contractor via the CAL-Card. Also, the
DGS administrative fee is applicable for
all SLP orders to suppliers not
California certified as a small business.
FEDERAL DEBARMENT
When federal funds are being expended,
the department is reauired to obtain (retain
in file) a signed "Federal Debarment"
certification from the contractor before the
purchase order is issued. This
certification is required by the regulations
implementing Executive Order 12549,
Debarment and Suspension, 29 CFR Part
98, Section 98.510, Participants;
responsibilities. The regulations were
published as Part VII of the May 26, 1988
Federal Register (pages 19160-19211).
AMERICANS WITH DISABILITY ACT
(ADA)
(See attachment B)
DGS PROCUREMENT DIVISION
CONTACT AND PHONE NUMBER
Department of General Services
Procurement Division, SLP Unit
707 Third Street, 2nd Floor
West Sacramento, CA 95605-2811
Phone no.: 916/375-4365
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ATTACHMENT A
SLP QUARTERLY BUSINESS ACTIVITY REPORT
Company Name: Reporting Calendar Year:
Software Publisher:
Reporting Quarter: • Q1 (January to March)
Contract Number: • Q2 (April to June)
For Questions Regarding this Report: • Q3 (July to September) E-mail: • Q4 (October to December)
Check Here if No New Orders for This Quarter
STATE GOVERNMENT AGENCY PURCHASES
State Agency Purchase Purchase Agency Total Dollars Phone Per Purchase Agency Contact Agency Address Number
Name Order Number Order Date Billing Code
Order
Total State Agency Dollars Reported for Quarter: $
LOCAL GOVERNMENT AGENCY PURCHASES
Local Government Agency Purchase Order Purchase Total Dollars Per Agency Phone Agency Address Number
Name Number Order Date Purchase Order Contact
Total Local Government Agency Dollars for Quarter: $
1.25% Remitted to DGS (of total Local Govt agency dollars reported for quarter): $ Total of State and Local Government Agency Dollars Reported for this Quarter: $ Updated 1/2024
ATTACHMENT A
SLP QUARTERLY BUSINESS ACTIVITY REPORT
Instructions for completing the SLP Quarterly Business Activity Report.
1. Complete the top of the form with the appropriate information for your company.
2. Agency Name - Identify the State agency or Local Government agency that issued the order.
3. Purchase Order Number - Identify the purchase order number (and amendment number if applicable) on the order form. This is not your invoice number. This is the number the State agency or Local Government agency assigns to the order.
4. Purchase Order Date - Identify the date the purchase order was issued, as shown on the order. This is not the date you received, accepted, or invoiced the order.
5. Agency Billing Code - Identify the State agency billing code. This is a five-digit number identified on the upper right hand corner of the Std. 65 purchase order form.
You must identify this number on all purchases made by State of California agencies.
Billing codes are not applicable to Local Government agencies.
6. Total Dollars Per PO - Identify the total dollars of the order excluding tax and freight.
Tax must NOT be included in the quarterly report, even if the agency includes tax on the purchase order. The total dollars per order should indicate the entire purchase order amount (less tax and freight) regardless of when you invoice order, perform services, deliver product, or receive payment.
7. Agency Contact - Identify the ordering agency's contact person on the purchase order.
8. Agency Address - Identify the ordering agency's address on the purchase order.
9. Phone Number - Identify the phone number for the ordering agency's contact person.
10. Total State Sales & Total Local Sales - Separately identify the total State dollars and/or Local Government agency dollars (pre-tax) for all orders placed in quarter.
11.1.25% Remitted to DGS - Identify 1.25% of the total Local Government agency dollars reported for the quarter.
12. Grand Total - Identify the total of all State and Local Government agency dollars reported for the quarter.
Notes:
• A report is required for each SLP contract each quarter even when there are no new orders for the quarter.
• Quarterly reports are due two weeks after the end of the quarter.
Procurement Division | State of California | California Government Operations Agency 707 3rd Street, 2ndFloor | West Sacramento, CA 95605 | t 916.375-4400
ATTACHMENT B
ADA NOTICE
Procurement Division (State Department of General Services)
AMERICANS WITH DISABILITIES ACT (ADA) COMPLIANCE
POLICY OF NONDISCRIMINATION ON THE BASIS OF DISABILITY
To meet and carry out compliance with the nondiscrimination requirements of the Americans With Disabilities Act (ADA), it is the policy of the Procurement Division (within the State Department of General Services) to make every effort to ensure that its programs, activities, and services are available to all persons, including persons with disabilities.
For persons with a disability needing a reasonable accommodation to participate in the Procurement process, or for persons having questions regarding reasonable accommodations for the Procurement process, please contact the Procurement Division at (916) 375-4400 (main office); the Procurement Division TTY/TDD (telephone device for the deaf) or California Relay Service numbers which are listed below. You may also contact directly the Procurement Division contact person who is handling this procurement.
IMPORTANT: TO ENSURE THAT WE CAN MEET YOUR NEED, IT IS BEST THAT WE RECEIVE YOUR REQUEST AT LEAST 10 WORKING DAYS
BEFORE THE SCHEDULED EVENT (i.e., MEETING, CONFERENCE,
WORKSHOP, etc.) OR DEADLINE DUE-DATE FOR PROCUREMENT
DOCUMENTS.
The Procurement Division TTY telephone numbers are:
Sacramento Office: (916) 376-1891
Fullerton Office: (714) 773-2093
The California Relay Service Telephone Numbers are:
Voice: 1-800-735-2922 or 1-888-877-5379
TTY: 1-800-735-2929 or 1-888-877-5378
Speech-to-Speech: 1-800-854-7784
Updated 2/06/2018 15