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STATE OF CALIFORNIA <br /> STANDARD AGREEMENT <br /> ST� 213 (CDPH Rev 2111) <br /> REGISTR4TIONNUMBER AGREEMENTNUMBER <br /> ❑ Check here if additional pages are added: page(s) �'I ��gqG�S 11-10264 <br /> 1. T his Agreement is entered into between th State Agency and the Contractor named below: <br /> STATE AGENGV'S NAME (AISO fH2(fEE f0 85 CDPH O! IhE $�dl¢) <br /> California Department of Public Health <br /> CONTRACTOR'S NAME (Also re(erretl to as ConiractoQ <br /> City of Redwood City <br /> 2. The term of this October 1, 2011 through January 31, 2012 <br /> Agreement is: <br /> 3. The maximum amount $ 15,000 <br /> of this Agreement is: Fifteen Thousand Dollars <br /> 4. The parties agree to comply with the terms and conditions of the following exhibits, which are by this reference made a <br /> part of this Agreement. <br /> Exhibit A— Scope of Work 3 pages <br /> Exhibit B— Budget Detail and Payment Provisions 3 pages <br /> Exhibit B, Attachment I— Budget 1 page <br /> Exhibit C*— General Terms and Conditions GTC610 <br /> Exhibit D(F) — Special Terms and Conditions (nttached hereto as pan of this agreement) 25 pages <br /> Exhibit E— Additional Provisions 1 page <br /> Exhibit F— Contractor's Release 1 page <br /> Exhibit G— Travel Reimbursement Information 2 pages <br /> Exhibit H— ARR,4 Terms and Conditions 2 pages <br /> Items shown above with an Asterisk ("), are hereby incorporated by reference and made part of this agreement as if attached hereto. <br /> These documents can be viewed at httv://www.o/s.das.ca.aov/Standard+Lanauaae <br /> IN WITNESS WHEREOF, this Agreement has been executed by the parties hereto. <br /> CONTRACTOR California Department o/ <br /> CONTRACTOR'S NAME (if otherthan an indivitlual, stafe whether a corporefion, partnership, efc.J General Services Use Only <br /> City of Redwood City <br /> BY �A Sig fure� DATE SIGNED /DO nof rype) <br /> � <br /> PRINTED NAME AND TITLE OF PERSON SIGNING <br /> Robert B. Bell, City Manager <br /> ADDRESS <br /> 1017 Middlefield Road <br /> Redwood C' 94063 <br /> STATE OF CALIFORNIA <br /> AG C ME <br /> C lifor ' ent of Public Health <br /> B (Authon ignat ) DAT�jSI ��D nlftype) <br /> I` � <br /> PR T ND TITLE OF PERS �� � Exemp[ per: <br /> Sa a Winters, Chief, Contracts and Purchasing Services Section <br /> ADDRESS <br /> 1501 Capitol Avenue, Suite 71.5178, MS 1802, PO Box 997377 <br /> Sacramento, CA 95899-7377 <br />