NCB_6175_Human_Resources_Research_Org.pdf

STATE OF CALIFORNIA- GENERAL SERVICES PROCUREMENT DIVISION

CONTRACT ADVERTISING EXEMPTION REQUEST

(IN CALIFORNIA STATE CONTRACTS REGISTER)

Government Code Section 14825 (et seq.) requires that all agreements entered into by state agencies for services shall be published in the California State Contracts Register (CSCR), unless exempted. Agreements which have been exempted by Department of GEOeral Services shall be listed in the CSCR.

STD. 821 (REV. 1012006)

TYPE OF REQUEST {Check one) r7] NON·COMPETITIVEL Y BID (NCB) [.!_J CONTRACT JUSTIFICATION {allach NCB) D

EXEMPTION

FROM ADVERTISING

DEPARTMENTAL CONTACT INFORMATION

PLEASE TYPE

NAME: r;,eshil Chandra DEPARTMENT: Education

D1v1s10N: Personnel Services Division ADDREss, 1430 N Street, Suite 1802 cirv.sTATE.z1P: L.::cramento, CA 95814

IMS cociEJ C-23 I

_J

CONTRACT NUMBER AMENDMENT" NUMDEA {If Applic,iblo) CONTRACT AMOUNT

/t&11S

SERVICE TYPE

0 NON-IT/TELECOM RELATED SERVICE D IT/TELECOM RELATED SERVICES

AGENCY BILLING CODE 2l570

CONTRACT DESCRIPTION

This amendment modifies tJl1e budget to address budget detail line items that exceeded IO percent. The amendment will result in a decrease of $284.88 to the overall cost of the contract.

TELEP ONE MBER (Not ALNET·tr>dicfe Area ode)

916-322-3269 AMENDMENT AMOUNT {JI Applicabilrl CONTRACT PERIOD

CNI00235 4 $1,416,274.46 ($284.88) 11/1/2010- 11/30/2014

PROVIDE

CONTRACTOR'S

NAME AND ADDRESS

ONLY IF A NON·

COMPETITIVELY BID

(NCB) CONTRACT IS

PROPOSED

CONTRACTOR'S NAME

Human Resources Research Organization (HumRRO) CONTRACTOR' S ADDRESS (Number, Street)

66 Canal Center Plaza, Suite 700 (CUy, State, ZIP Code/

Alexandria, VA 22314

FEDERAL EMPLOYER IDENTIFICATION

NUMBER

An exemption from advertising in the California State Contracts Register is not an exemption from Disabled Veteran Business Enterprise (DVBE) participation goal attainment.

EXEMPTION JUSTIFICATION (Attach additional shaets ii necessary)

The Human Resources Research Organization (HumRRO) is the CUJTent independent evaluator of the California High School Exit Examination {CAHSEE). California Education Code Section 60855 requires that an independent evaluation be conducted for the CAHSEE. The proposed NCB requests to modify the budget to address budget detail line items that exceeded l O percent. This amendment wi II result in a decrease of $284.88 to the overall cost of the contract.

AUTHORIZED SIGNATURE

DATE SIGNED

10/.s/1<1

SENDTO: I

NAME:

DEPARTMENT: DEPARTMENT OF GENERAL SERVI ES

DIVISION: PROCUREMENT DIVISION

ADDnEss, 707 THIRD ST., Second Floor CITY.SfATE.ZIP: WEST SACRAMENTO, CA 95605

L

Department of General Services Procurement Division

For PD Use only NCB#:fDJ7�

NON-COMPETITIVELY BID (NCB) CONTRACT JUSTIFICATION

For use on all information technology (IT) and non-IT goods and services acquisitions.

Attach to Std. 65, Std. 66 or Std. 821, as applicable.

This justification document consists of two (2) pages. All information must be provided and all questions must be answered. The "Required Approvals" section must include a date for each silmaturc, as annronriatc for the transaction.

Reauesting Department Information Agency: Department:

NIA California Department of Education (COE)

(*Includes Boards, Commissions, and Associations) Institution (if applicable):

N/A

Department Contact Information Contact Name: Street Address:

Sueshil Chandra/Andrea Stewart 1430 N Street, Suite 1802 Telephone: Sacramento, CA 95814

(916) 322-3269 or (916) 323-8911 FAX: Mailing Address:

(916) 319-0124 E-Mail: SAME SChandra@cde.ca.aov / AStewart@cde.ca.nov

'•. Reauired'Contract Information : -: ' .. ,,, , .• , ' f-' :, '-§. ,LI "

Contractor Name:

Human Resources Research Oraanization (HumRRO) Contract CN100235 A.4 Contractor Address:

66 Canal Center Plaza, Suite 700, Alexandria VA 22314 Original Contract Amendment Amount:* (if New Contract Amount: * Has work commenced?

Amount:* applicable) $ 1,415,989.58 � Yes D No

$1,416,274.46 $ (284.88) (*Includes original contract and all Have goods been acquired?

(*Includes original contract and amendments, including current D Yes � No previously approved (*Current amendment only) amendment) Attach explanations for any "Yes" amendments) answers.

Provide a brief d.escription of the acauisition, includina all aoods-and/or"services the con�tractor will provide:· -· , The contractor is conducting the independent evaluation of the California High School Exit Examination (CAHSEE) in accordance with California Education Code Section 60855.

This amendment is a result of the contractor having to shift workload of certain staff members as detailed in the contract's budget line items to accommodate for various staff leaves of absence, retirements, and staff on temporary disability. This amendment modifies the budget to address budget detail line items that exceeded 1 O percent. The amendment will result in a decrease of $284.88 to the overaU cost of the contract.

I, , •

Contract Type:

Select One: D

18] D D D

Non-IT Goods Non-IT Service IT Goods IT Service IT Goods & Services

I , � • ;I,.(,, ,'.;. ·.

. . . Contract Type· arid . .Term: .. ' .

Contract Term: Type of Award:

Begin: November 1, 2010 CMAS:

End: November 30, 2014 Master:

Explain late contract submittal Competitive: X (services only): Form 42:

. . '·· l.t

Will this transaction be financed?

No _x_ Yes --

If yes, attach the Statement of Compliance to the State Financial Marketplace to this form ,. c.·" .e .,. " I� .,� � . •·' . .{ . ·:/.,-r,.·,r'· ,;,,.·;� J '. f'":,' . Required Approvals , .· ,.'J_.�;'J:':'1 ., :;· ·. ' ··- . '" , t . .1Ei1 -!

r' -�

Department :@ Approved D Denied

0n,�AeYA-d �� 'o/3 /;<1 Signature of Di�or or Designee/Date

Michelle Zumot. Education Policy Administrator II, or Richard Zeiger, Chief Deputy Superintendent

California Department of Education

Agency D Approved D Denied

N/A Signature of Agency Secretary or

Designee/Date

N/A Type Name of Agency Secretary or see Instructions

Remit completed form to: ... Procurement D1v1s1on One-Time Acquisitions 707 Third Street, 2nd Floor, MS: 201 West Sacramento, CA 95605

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� 'e, /RP.II 1()/?"i/1?\

D�:t:/ General Servicesl/4 Ap

,.Q D oeo;ed t . _'" t . Id� ( k S1gr,lture ofU1rector or'�esignee/Date

Type Name of Director or Designee