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STATE OF CALIFORNIA DEPARTMENT OF GENERAL SERVICES SCO ID: <br />STANDARD AGREEMENT AGREEMENT NUMBER PURCHASING AUTHORIITY NUMBER (If Applicable) <br />STD 213 (Rev 03/2019) BSCC XXX- 26 <br />1.This Agreement is entered into between the Contracting Agency and the Contractor named below: <br />CONTRACTING AGENCY NAME <br />BOARD OF STATE AND COMMUNITY CORRECTIONS <br />CONTRACTOR NAME <br />XXX <br />2.The term of this Agreement is: <br />START DATE <br />July 1, 2026 <br />THROUGH END DATE <br />December 31, 2031 <br />3. The maximum amount of this Agreement is: <br />$000,000.00 <br />4.The parties agree to comply with the terms and conditions of the following exhibits, attachments, and appendices which are <br />by this reference made a part of the Agreement. <br />EXHIBITS TITLE PAGES <br />Exhibit A Scope of Work x <br />Exhibit B Budget Detail and Payment Provisions x <br />Exhibit C General Terms and Conditions (02/2025) 4 <br />Exhibit D Special Terms and Conditions x <br />Attachment 1* Proposition 64 Public Health and Safety (Prop 64 PH&S) Grant Request for Proposals * <br />Attachment 2 Proposition 64 PH&S Grant Program Cohort 4 Application for Funding xx <br />Appendix A Proposition 64 PH&S Grant Program Cohort 4 Scoring Panel Roster x <br />Appendix B:Appendix B Criteria for Non-Governmental Organizations Receiving BSCC Program Funds x <br />* This item is hereby incorporated by reference and can be viewed at: <br />https://www.bscc.ca.gov/proposition-64-public-health-safety-grant-program/ <br />IN WITNESS WHEREOF, THIS AGREEMENT HAS BEEN EXECUTED BY THE PARTIES HERETO. <br />CONTRACTOR <br />CONTRACTOR NAME (if other than an individual, state whether a corporation, partnership, etc.) <br />GRANTEE NAME <br />CONTRACTOR BUSINESS ADDRESS CITY STATE ZIP <br />xxx xxx xx xxx <br />PRINTED NAME OF PERSON SIGNING TITLE <br />xxx xxx <br />CONTRACTOR AUTHORIZED SIGNATURE DATE SIGNED <br /> <br />STATE OF CALIFORNIA <br />CONTRACTING AGENCY NAME <br />BOARD OF STATE AND COMMUNITY CORRECTIONS <br />CONTRACTING AGENCY ADDRESS CITY STATE ZIP <br />2590 Venture Oaks Way, Suite 200 Sacramento CA 95833 <br />PRINTED NAME OF PERSON SIGNING TITLE <br />COLLEEN CURTIN Deputy Director <br />CONTRACTING AGENCY AUTHORIZED SIGNATURE DATE SIGNED <br /> <br />CALIFORNIA DEPARTMENT OF GENERAL SERVICES APPROVAL: EXEMPT PER SCM, VOLUME 1, CH. 4.06SAMPLE7.C. - Page 83 of 101 <br />142