RFQ-IT_HD159073_Addendum_2_STD213IT.pdf

PDF 185 KB Posted

Attached to
Information Technology Services, Infrastructure-as-a-Service
Solicitation number
0000001241
Issued by
California

About this file

This is a Standard Agreement (STD 213 IT) between the California Department of Developmental Services (State) and ABC Store, Inc. (Contractor) for IT goods/services, with purchasing authority number DDS-4310 and agreement number HD159073. The contract term runs from June 14, 2016 through June 13, 2017. The agreement includes several attachments: a Statement of Work (2 pages), Budget Detail and Payment Provisions (1 page), Budget (1 page), General Provisions for Information Technology, Special Terms and Conditions (9 pages), Statement of Assurances for Protection of Personal Information (HIPAA) (8 pages), and Cloud Computing Special Provisions (5 pages).

This appears to be a sample contract, as indicated in the "maximum amount" field. The agreement incorporates by reference an RFQ and Vendor's response, which can be viewed at www.dgs.ca.gov/pd/Resources/ModelLanguage.aspx. The contract is signed by a Contracts Manager from the Department of Developmental Services, located at 1600 9th Street, Room 300, MS 3-18, Sacramento, CA 95814.

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Text version

STATE OF CALIFORNIA

STANDARD AGREEMENT

STD. 213 IT (REVISED 08/11) STANDARD AGREEMENT

FOR I.T. GOODS/SERVICES ONLY

REGISTRATION NUMBER

PURCHASING AUTHORITY NUMBER AGREEMENT NUMBER

1. This Agreement is entered into between the State Agency and the Contractor named below

STATE AGENCY’S NAME

(hereafter called State)

CONTRACTOR’S NAME

(hereafter called Contractor)

2. The term of this

Agreement is:

3. The maximum amount of this Agreement is: $

4. The parties agree to comply with the terms and conditions of the following attachments which are by this reference made a part of the Agreement:

IN WITNESS WHEREOF, this Agreement has been executed by the parties hereto.

CONTRACTOR

CALIFORNIA

Department of General Services Use Only

CONTRACTOR’S NAME (If other than an individual, state whether a corp

BY (Authorized Signature)

PRINTED NAME AND TITLE OF PERSON SIGNING

ADDRESS

STATE OF CALIFORNIA

AGENCY NAME

BY (Authorized Signature)

PRINTED NAME AND TITLE OF PERSON SIGNING

ADDRESS

oration, partnership, etc.)

DATE SIGNED (Do not type)

DATE SIGNED (Do not type)

Exempt per

RegistrationNumber:
PurchAuthorityNum: DDS-4310
AgreementNumber: HD159073
StateAgencyName: Department of Developmental Services
ContractorName: ABC Store, Inc.
TermsofAgreement: June 14, 2016 or when fully executed through June 13, 2017
MaximumAmount: SAMPLE CONTRACT through
AgreetoComply: Exhibit A - Statement of Work 2 page(s)

Exhibit B - Budget Detail and Payment Provisions 1 page(s) Exhibit B--Attachment 1 - Budget 1 page(s) Exhibit C - General Provisions for Information Technology** GSPD-401IT Exhibit D - Special Terms and Conditions 9 page(s) Exhibit E - Statement of Assurances for Protection of Personal Information (HIPAA) 8 page(s) Cloud Computing Special Provisions** 5 page(s) Items shown with an asterisk (*) are hereby incorporated by reference and are made a part of this agreement as if attached hereto.

These documents can be viewed at www.dgs.ca.gov/pd/Resources/ModelLanguage.aspx RFQ and Vendor's response are hereby incorporated by reference and are made part of this agreement as if attached hereto.

ContractorName2: ABC Store, Inc.
Address:
AgencyName: Department of Developmental Services
PersonSigning:
PersonSigning2: Pamela S. Robison, Contracts Manager
Address2: 1600 9th Street, Room 300, MS 3-18, Sacramento, CA 95814

File details come from the government source that posted it. Updated .