HomeMy WebLinkAboutAmendment I to DSH A-20-340.pdf Agreement No. 23-220
STATE OF CALIFORNIA-DEPARTMENT OF GENERAL SERVICES SCO ID:4440-79001000-Al
STANDARD AGREEMENT-AMENDMENT
STD 213A(Rev.4/2020) AGREEMENT NUMBER AMENDMENT NUMBER Purchasing Authority Number
® CHECK HERE IF ADDITIONAL PAGES ARE ATTACHED PAGES 20-79001-000 Al DSH-4440
1.This Agreement is entered into between the Contracting Agency and the Contractor named below:
CONTRACTING AGENCY NAME
Department of State Hospitals
CONTRACTOR NAME
County of Fresno
2.The term of this Agreement is:
START DATE
July 1,2020
THROUGH END DATE
June 30,2024
3.The maximum amount of this Agreement after this Amendment is:
$5,843,700.00
Five Million Eight Hundred Forty Three Thousand Seven Hundred Dollars and Zero Cents
4.The parties mutually agree to this amendment as follows.All actions noted below are by this reference made a part of the Agreement and
incorporated herein:
A.The effective date of this amendment is March 1,2023 or upon DSH approval,whichever is later.
All other terms and conditions shall remain the some.
IN WITNESS WHEREOF,THIS AGREEMENT HAS BEEN EXECUTED BY THE PARTIES HERETO.
CONTRACTOR
CONTRACTOR NAME(if other than an individual,state whether a corporation,partnership,etc.)
County of Fresno
CONTRACTOR BUSINESS ADDRESS CITY STATE ZIP
1925 East Dakota ---_ ATTEST: Fresno CA 93726
--------
PRINTED NAME OF PERSON SIGNING BERNICE E.SEIDEL TITLE
Sal Quintero Clerk of the Board of Supervisors Chairman of the Board of Supervisors
CONTRACTOR AUTHORIZED SIGNATURE County of Fresno,State of California DATE SIGNED
By_ ,�r— Deputy May 23, 2023
STATE OF CALIFORNIA
CONTRACTING AGENCY NAME
Department of State Hospitals
CONTRACTING AGENCY ADDRESS CITY STATE ZIP
1215 O Street,MS-1 Sacramento CA 95814
PRINTED NAME OF PERSON SIGNING TITLE
Dominique Williams Chief, BMB
CONTRACTING AGENCY AUTHORIZED SIGNATURE DATE SIGNED
Digitally signed by0 Dominique Williams
Date:2023.05.26 8:30:14-07'00' 5/26/2023
CALIFORNIA DEPARTMENT OF GENERAL SERVICES APPROVAL EXEMPTION(If Applicable)
Welfare&Institutions Code 4361
Page 1 of 1