HomeMy WebLinkAboutP-17-403-I Amendment 2 .pdfCONTRACT INFORMATION SHEET
DATE:
Contract No.: Vendor Number:
Contract Title: Name/Address:
Contract Period: Representative:
Using Agencies: Phone No.:
Email:
Terms:
Bid Reference No.:
Total Contract Amt.: $
Buyer Name:
Requisition No:Org:
Supersedes:
NEW RENEWAL ADJUSTMENT REFERENCE
TICK DATE
DESCRIPTION:
SPECIAL INSTRUCTIONS:
DISTRIBUTION: Completed By: Date: Completed By: Date
DEPARTMENT:
REQUISITIONER: cn7-15
County of Fresno
INTERNAL SERVICES DEPARTMENT
ROBERT BASH, DIRECTOR – CIO
Facility Services • Fleet Services • Graphics
Information Technology • Purchasing
Security • Telecommunications
333 W. Pontiac Way, Clovis, CA 93612 / (559) 600-7110
* The County of Fresno is an Equal Employment Opportunity Employer *
AMENDMENT NUMBER TWO (2)
Agreement Number: P-17-403-I
May 10, 2021
Contract Number P-17-403-I covering Basic and Supplemental Residential Board and Care Home
Services is amended as follows:
The contract with your company expires June 30, 2021. The County of Fresno desires to extend this
contract for an additional one (1) year period effective July 1, 2021 through June 30, 2022. Prices will be
firm for the contract period. Amendment provisions shall remain in full force and effect with any contract
renewals.
Electronic Signatures. The parties agree that this Agreement may be executed by electronic signature as
provided in this section.
A.An “electronic signature” means any symbol or process intended by an individual signing this
Agreement to represent their signature, including but not limited to (1) a digital signature; (2) a faxed
version of an original handwritten signature; or (3) an electronically scanned and transmitted (for
example by PDF document) of a handwritten signature.
B. Each electronic signature affixed or attached to this Agreement (1) is deemed equivalent to a valid
original handwritten signature of the person signing this Agreement for all purposes, including but not
limited to evidentiary proof in any administrative or judicial proceeding, and (2) has the same force
and effect as the valid original handwritten signature of that person.
C. The provisions of this section satisfy the requirements of Civil Code section 1633.5, subdivision (b), in
the Uniform Electronic Transaction Act (Civil Code, Division 3, Part 2, Title 2.5, beginning with section
1633.1).
D. Each party using a digital signature represents that it has undertaken and satisfied the requirements
of Government Code section 16.5, subdivision (a), paragraphs (1) through (5), and agrees that each
other party may rely upon that representation.
This Agreement is not conditioned upon the parties conducting the transactions under it by electronic
means and either party may sign this Agreement with an original handwritten signature.
Please acknowledge your acceptance by returning all pages of this letter to my office via email or USPS.
If you have any questions, please contact Crystal Nino, Purchasing Technician, at (559) 600-7110 or
email cnino@fresnocountyca.gov.
CONTRACT NO. P-17-403-I Page 2
May 10, 2021
G:\PUBLIC\CONTRACTS & EXTRACTS\I\P-17-403-I MASTER AGREEMENT FOR RESIDENTIAL BOARD AND
CARE HOME SERVICES\CONTRACTS & AMENDMENTS\P-17-403-I AMENDMENT 2.DOCX
FOR THE COUNTY OF FRESNO
Gary E. Cornuelle
Purchasing Manager
333 W. Pontiac Way
Clovis, CA 93612
GEC:cn
G:\PUBLIC\CONTRACTS & EXTRACTS\I\P-17-403-I MASTER AGREEMENT FOR RESIDENTIAL BOARD AND CARE HOME
SERVICES\CONTRACTS & AMENDMENTS\P-17-403-I AMENDMENT 2.DOCX
Gary Cornuelle Digitally signed by Gary Cornuelle
Date: 2021.07.15 07:53:02 -07'00'
0D\
CONTRACT NO. P-17-403-I Page 3
May 10, 2021
G:\PUBLIC\CONTRACTS & EXTRACTS\I\P-17-403-I MASTER AGREEMENT FOR RESIDENTIAL BOARD AND
CARE HOME SERVICES\CONTRACTS & AMENDMENTS\P-17-403-I AMENDMENT 2.DOCX
CONTRACTOR TO COMPLETE:
Company:
Type of Entity:
Individual Limited Liability Company
Sole Proprietorship Limited Liability Partnership
Corporation General Partnership
Signature
Print Name and Title Date
Signature
Print Name and Title Date
Address City State Zip
TELEPHONE NUMBER FAX NUMBER E-MAIL ADDRESS
ACCOUNTING USE ONLY
ORG No.:56302175
Account No.:7295
Requisition No.: 5632110056
(2/2021)
0DULDQ +RPHV ,QF
■
6XQGDUL 6XVDQ .HQGDNXU 3UHVLGHQW -XQH
6DP .HQGDNXU 7UHDVXUHU -XQH
$UPVWURQJ $YHQXH &ORYLV &$
DQMDOHRQL#PDFFRP
3DJH
CONTRACT NO. P-17-403-I Page 3
May 10, 2021
G:\PUBLIC\CONTRACTS & EXTRACTS\I\P-17-403-I MASTER AGREEMENT FOR RESIDENTIAL BOARD AND
CARE HOME SERVICES\CONTRACTS & AMENDMENTS\P-17-403-I AMENDMENT 2.DOCX
CONTRACTOR TO COMPLETE:
Company:
Type of Entity:
Individual Limited Liability Company
Sole Proprietorship Limited Liability Partnership
Corporation General Partnership
Signature
Print Name and Title Date
Signature
Print Name and Title Date
Address City State Zip
TELEPHONE NUMBER FAX NUMBER E-MAIL ADDRESS
ACCOUNTING USE ONLY
ORG No.:56302175
Account No.:7295
Requisition No.: 5632110056
(2/2021)
$QMDOHRQL (QWHUSULVHV ,QF
■
6XQGDUL 6XVDQ .HQGDNXU 3UHVLGHQW -XQH
$QMDOL 6DEULQD .HQGDNXU 6HFUHWDU\ -XQH
$UPVWURQJ $YHQXH &ORYLV &$
DQMDOHRQL#PDFFRP
3DJH
3DJH