ATTACHMENT 13- CAL OES _ PUBLIC SAFETY COMMISSION (TD 288).pdf
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- Attached to
- Governor's Office of Emergency Services, 9-1-1 Call Processing Equipment RFP 26-16743 Pre-Solicitation
- Solicitation number
- 0000038424
- Issued by
- California
About this file
This is a Commitment to Fund form (OES-PSC-288) issued by the California Governor's Office of Emergency Services (CalOES) Public Safety Commission for 9-1-1 equipment and services. The document authorizes funding for AT&T to install a Premise-Based Customer Premises Equipment (CPE) 9-1-1 call-taking solution for a specified public safety agency. The project includes the installation of multiple stationary workstations and references a California Master Agreement (MPA) Contract and a detailed Scope of Work (SOW) for the designated police department. The contract covers a 9-1-1 call-taking system with CPE unit costs and installation charges, followed by a five-year monthly maintenance period for the premise equipment.
Funding for this equipment and services is provided through the State Emergency Telephone Account, with payment routed directly from the state to AT&T as the vendor. All invoices must reference the specific MPA contract number and the CalOES 9-1-1 Branch Tracking Number (TD-288). The state's monetary obligation in subsequent fiscal years is contingent upon the availability of funds and does not constitute a binding purchase order. The form identifies Janee Dabrowski as the advisor and requires specification of non-recurring costs for equipment and installation alongside recurring monthly maintenance costs over the contract term.
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Text version
Public Agency:
Address:
City, State, Zip:
PSAP Manager:
E-mail Address:
Phone Number:
ALT Phone:
Quantity Service/
Eqmt. ID# Unit Cost Installation Monthly Cost # Months
(Maintenance)
Total Recurring Cost
Total Non- Recurring Cost
$0.00 $0.00 % Enter Tax total
XXXXX
DATE
All invoices shall refer to tracking number:
ADVSIOR NAME JANEE DABROWSKI
APPROVED BY:TELEPHONERECOMMENDED APPROVAL BY:
(XXX) XXX-XXXX
Purchase/Service Information: Include equipment or service description, quantity, part number, unit cost, installation cost, monthly cost, total months covered under maintenance, tax and total cost. Attach contractors quote or PSAP purchase order, where applicable.
The State of California's monetary obligation under this agreement in subsequent fiscal years is subject to, and contingent upon, availability of funds in the State Emergency Telephone Account. Please be advised that this commitment to fund does not constitute a binding purchase order agreement.
PRODUCT
PRODUCT
PRODUCT
PRODUCT
XXXX / 702.xxAccount Name:
TOTAL APPROVED
Fiscal Year:
NOTES: Subtotal Tax and Surcharge
PRODUCT
Representative:
E-Mail Address:
Phone Number:
ALT Contact/Phone:
LOGISTICS MANAGEMENT
PUBLIC SAFETY COMMUNICATIONS
( ) 9-1-1 Equipment ( ) 9-1-1 Education ( ) Maintenance
( ) 9-1-1 Network ( ) County Coordinator Expense ( ) Other: CPE RESIDUALS
( ) Training ( ) 7-Digit Phone Lines
Type of Funding Request:
Contractor Name:
Mailing Address:
City, State, Zip:
STATE OF CALIFORNIA
CALIFORNIA GOVERNORS OFFICE OF EMERGENCY SERVICES
OES-PSC-288 (Rev. 09-2025)
TD-288 expiration date:
COMMITMENT TO FUND 9-1-1 EQUIPMENT AND SERVICES
This Form To Be Completed By The State 9-1-1 Office Only
2025/2026
Description of Equipment and Services to be funded: ATT to install [CPE] Premise-Based CPE 9-1-1 call-taking solution. 9-1-1 call taking position count: (X) stationary workstations. Purchase references CA MPA Contract # XXXX-XXXX and project specifications as detailed in SOW established for XXXXXX PD.
VENDOR INVOICING DIRECTIVE: ATT shall submit invoices directly to the CalOES/9-1-1 Branch for direct payment by state to vendor. All invoices shall include contract number (MPA#XXXX-XXXX) & CA9-1-1 Branch Tracking Number (TD288#XXXXX). Payment Route: State Pay Vendor Direct
[NRC] CPE UNIT COST AND INSTALL -
Backroom & Positions
MPA#XXXX-XXXX
XXXXX [On-Prem] 9-1-1 CPE Stand Alone System; (X) Positions
Description
[MRC] Call Premise Equipment;
5-Year Monthly Maintenance
PRODUCT
N/A
(Rev. 09/2025) 1 OES-PSC-288
OES-PSC-288
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