Attachment B
SCO ID: 7730-0000000000000000000096228
STATE OF CALIFORNIA - DEPARTMENT OF GENERAL SERVICES
STANDARD AGREEMENT
STD 213 (Rev. 04/2020)
AGREEMENT NUMBER
0000000000000000000096228
PURCHASING AUTHORIPl' NUMBER (If Applicable)
1. This Agreement is entered into between the Contracting Agency and the Contractor named below:
CONTRACTING AGENCY NAME
Franchise Tax Board
CONTRACTOR NAME
City of Pasadena
2. The term of this Agreement is:
START DATE
January 1,2024 or date of approval, whichever is later,
THROUGH END DATE
December 31,2026
3. The maximum amount of this Agreement is:
$0.00 (NON-FINANCIAL AGREEMENT)
4. The parties agree to comply with the terms and condition5 of the following exhibits, which are by this reference made a part of the Agreement.
ExhibitsTitlePages
Exhibit AScope of Work3
Exhibit B | Budget Detail and Payment Provisions1
Exhibit C * I General Terms and ConditionsGTC417
+
Exhibit DSpecial Terms and Conditions3
+
Exhibit ECity and County Record Layout Specifications2
+
Exhibit FFranchise Tax Board Record Layout Specifications1 +
Exhibit GConfidentiality Statement1
Items shown with an asterisk I"), are hereby incorporated by reference and made part ot this agreement as it attacned hereto.
These documents can be viewed at https-y/www.dgs.ca.aov/OLS/Resource.':
IN WITNESS WHEREOF, THIS AGREEMENT HAS BEEN EXECUTED BY THE PARTIES HERETO.
CONTRACTOR
CONTRACTOR NAME (if other than an individual, state whether a corporation, partnership, etc.) City of Pasadena
CONTRACTOR BUSINESS ADDRESS
100 N. Garfield Avenue, Room N106
CITI'
Pasadena
STATE
CA
ZIP
91101
PRINTED NAME OF PERSON SIGNINGTITLE
CONTRACTOR AUTHORIZED SIGNATUREDATE SIGNED
SCO ID: 7730-0000000000000000000096228
STATE OF CALIFORNIA - DEPARTMENT OF GENERAL SERVICES
STANDARD AGREEMENT
STD 213 (Rev, 04/2020)
AGREEMENT NUMBER
0000000000000000000096228
PURCHASING AUTHORIFl' NUMBER (If Applicable)
STATE OF CALIFORNIA
CONTRACTING AGENCY NAME
Franchise Tax Board
CONTRACTING AGENCY ADDRESS
P.O. Box 2086CITY
Rancho Cordova
STATE
CA
ZIP
95741 PRINTED NAME OF PERSON SIGNING
Michael A. Banuelos
TITLE
Procurement and Contracting Officer or Designee CONTRACTING AGENCY AUTHORIZED SIGNATUREDATE SIGNED CALIFORNIA DEPARTMENT OF GENERAL SERVICES APPROVALEXEMPTION (If Applicable) SCMVol.1,4.04.A.2