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HomeMy WebLinkAbout22-2003_A2_EXECUTED_2024-08-28.pdf 5 CO ID: 5180-222003-A2 STATE OF CALIFORNIA AGREEMENT NUMBER AMENDMENT NUMBER AGREEMENT SUMMARY 22-2003 A2 STD 215(Rev.04/2020) ❑✓ CHECK HERE IF ADDITIONAL PAGES ARE ATTACHED 1. CONTRACTOR'S NAME 2. FEDERAL I.D. NUMBER Employment Development Department Government Entity 3. AGENCY TRANSMITTING AGREEMENT 4. DIVISION, BUREAU,OR OTHER UNIT 5. AGENCY BILLING CODE California Department of Social Services Contracts and Procurement Services Branch 068665 6a.CONTRACT ANALYST NAME 6b. EMAIL 6c. PHONE NUMBER Jennifer Morris Jennifer.Morris@dss.ca.gov (916)201-5831 7. HAS YOUR AGENCY CONTRACTED FOR THESE SERVICES BEFORE? ❑ No ❑✓ Yes(If Yes, enter prior Contractor Name and Agreement Number) PRIOR CONTRACTOR NAME PRIOR AGREEMENT NUMBER Employment Development Department 22-2003 Al 8. BRIEF DESCRIPTION OF SERVICES Provides authority to receive wage and unemployment insurance information on CDSS program recipients for the purposes of program oversight,budget development,and program evaluation of client outcomes. 9. AGREEMENT OUTLINE (Include reason for Agreement:Identify specific problem,administrative requirement,program need or other circumstances making the Agreement necessary;include special or unusual terms and conditions.) Amendment 2 is to allow an increase in both funding and time to continue to provide CDSS authority to receive wage and unemployment insurance information on CDSS program recipients for the purposes of program oversight,budget development,and program evaluation of client outcomes.[Amendment 1 is a zero dollar amendment to provide additional language and project information to continue to provide authority to receive wage and unemployment insurance information on CDSS program recipients for the purposes of program oversight,budget development,and program evaluation of client outcomes.][Original:Provides authority to receive wage and unemployment insurance information on CDSS program recipients for the purposes of program oversight,budget development,and program evaluation of client outcomes.] 10. PAYMENT TERMS(More than one may apply) ❑ Monthly Flat Rate ❑ Quarterly ❑ One-Time Payment Progress Payment ❑✓ Itemized Invoice ❑ Withhold % ❑ Advanced Payment Not To Exceed ❑ Reimbursement/Revenue or % ❑ Other(Explain) 11. PROJECTED EXPENDITURES FUND TITLE ITEM FISCAL CHAPTER STATUTE PROJECTED YEAR EXPENDITURES LE 0 General Fund 5180-747-0001 22/23 CH 43/22 STAT 2022 ($188.85) 0 Federal Fund 5180-707-0890 22/23 CH 43/22 STAT 2022 ($4,531.14) 0 Federal Fund 5180-747-0890 22/23 CH 43/22 5TAT 2022 ($188.85) LE General Fund 5180-001-0001 22/23 CH 43/22 5TAT 2022 ($3,851.25) EGeneral Fund 5180-747-0001 23/24 CH 12/23 STAT 2023 $1,049.45 E Federal Fund 5180-707-0890 23/24 CH 12/23 STAT 2023 $25,188.89 EFederal Fund 5180-747-0890 23/24 CH 12/23 STAT 2023 $1,049.46 E General Fund 5180-001-0001 23/24 CH 12/23 STAT 2023 $21,410.86 IE General Fund 5180-141-0001 24/25 CH 22/24 STAT 2024 $553.65 El Page 1 of 4 5 CO ID: 5180-222003-A2 STATE OF CALIFORNIA AGREEMENT NUMBER AMENDMENT NUMBER AGREEMENT SUMMARY 22-2003 A2 STD 215(Rev.04/2020) FUND TITLE ITEM FISCAL CHAPTER STATUTE PROJECTED YEAR EXPENDITURES Federal Fund 5180-101-0890 24/25 CH 22/24 STAT 2024 $13,288.70 E Federal Fund 5180-141-0890 24/25 CH 22/24 STAT 2024 $553.65 E General Fund 5180-001-0001 24/25 CH 22/24 STAT 2024 $11,295.56 Z General Fund 5180-141-0001 25/26 CH /25 STAT2025 $1,270.35 Ll E Federal Fund 5180-101-0890 25/26 CH /25 STAT2025 $30,490.62 E Federal Fund 5180-141-0890 25/26 CH /25 STAT2025 $1,270.34 E General Fund 5180-001-0001 25/26 CH /25 STAT2025 $25,917.37 E General Fund 5180-141-0001 26/27 CH /26 STAT2026 $1,270.35 E Federal Fund 5180-101-0890 26/27 CH /26 STAT2026 $30,490.62 E Federal Fund 5180-141-0890 26/27 CH /26 STAT2026 $1,270.34 E General Fund 5180-001-0001 26/27 CH /26 STAT2026 $25,917.37 El OBJECT CODE AGREEMENT TOTAL $183,527.49 OPTIONAL USE AMOUNT ENCUMBERED BY THIS DOCUMENT $183,527.49 PRIOR AMOUNT ENCUMBERED FOR THIS AGREEMENT $113,323.36 1 certify upon my own personal knowledge that the budgeted funds for the current TOTAL AMOUNT ENCUMBERED TO DATE budget year are available for the period and purpose of the expenditure stated above. 1 $296,850.85 ACCOUNTING OFFICER'S SIGNATURE ACCOUNTING OFFICER'S NAME(Print or Type) DATE SIGNED Adrlana ContreraS Digitally signed by Adriana Contreras AdrlanaContreras 08/12/2024 Date:2024.08.12 15:33:10-07'00' 12. AGREEMENT AGREEMENT TERM TERM TOTAL COST OF BID,SOLE SOURCE,EXEMPT FROM THROUGH THIS TRANSACTION Original 07/01/2022 06/30/2025 $113,323.36 Exempt Amendment 1 07/01/2022 06/30/2025 $0.00 Exempt 0 Amendment 07/01/2022 06/30/2027 $183,527.49 Exempt TOTAL $296,850.85 13. BIDDING METHOD USED ❑ Request for Proposal(RFP)(Attach justification if secondary method is used) ❑ Use of Master Service Agreement ❑ Invitation for Bid(IFB) ❑✓ Exempt from Bidding(Give authority for exempt status) ❑ Sole Source Contract(Attach STD. 821) ❑ Other(Explain) SCM Vol. 2, Section 1509-Interagency Agreement Note:Proof of advertisement in the State Contracts Register or an approved form STD. 821, Contract Advertising Exemption Request,must be attached 14. SUMMARY OF BIDS(List of bidders,bid amount and small business status)(If an amendment,sole source,or exempt,leave blank) Page 2 of 4 SCO ID: 5 1 80-2 2 2003-A2 STATE OF CALIFORNIA AGREEMENT NUMBER AMENDMENT NUMBER AGREEMENT SUMMARY 22-2003 A2 STD 215(Rev.04/2020) 15. IF AWARD OF AGREEMENT IS TO OTHER THAN THE LOWER BIDDER, EXPLAIN REASON(S)(If an amendment, sole source, or exempt,leave blank) 16. WHAT IS THE BASIS FOR DETERMINING THAT THE PRICE OR RATE IS REASONABLE? The rates are determined as fair and reasonable and historically comparable to the prior contract and other similar contracts for similar services. 17a. JUSTIFICATION FOR CONTRACTING OUT(Check one) Contracting out is justified based on Government Code 19130(b).When this box ❑ Contracting ti The State Personnel Board has been so notified.ng out is based on cost savings per Government Code ❑ is checked,a completed JUSTIFICATION-CALIFORNIA CODE OF 19130(a) REGULATIONS,TITLE 2,SECTION 547.60 must be attached to this document. ❑✓ Not Applicable(Interagency/Public Works/Other ) 17b. EMPLOYEE BARGAINING UNIT NOTIFICATION ❑✓ By checking this box,/hereby certify compliance with Government Code section 19132(b)(1). AUTHORIZED SIGNATURE SIGNER'S NAME(Print or Type) DATE SIGNED Jennifer Morris Date: 024.0ed 11:02:Jennifer-07001 Jennifer Morris 08/28/2024 Date:2024.08.28 11:02:58-07'00' 18. FOR AGREEMENTS IN EXCESS OF$5,000: Has the letting of the agreement No ❑ Yes N/A 22. REQUIRED RESOLUTIONS ARE been reported to the Department of Fair Employment and Housing? ❑ ❑✓ ATTACHED 19. HAVE CONFLICT OF INTEREST ISSUES BEEN IDENTIFIED AND RESOLVED ❑ No ✓❑ Yes N/A ❑ No ❑ Yes ❑✓ N/A AS REQUIRED BY THE STATE CONTRACT MANUAL SECTION 7.10? 23. IS THIS A SMALL BUSINESS AND/OR 20. FOR CONSULTING AGREEMENTS: Did you review any A DISABLED VETERAN BUSINESS contractor evaluations on file with the DGS Legal Office? ❑ None on file ❑ No ❑ Yes N/A CERTIFIED BY DGS? 21. IS A SIGNED COPY OF THE FOLLOWING ON FILE AT YOUR AGENCY FOR THIS CONTRACTOR? ❑✓ No ❑ Yes A. Contractor Certification Clauses B. STD 204 Vendor Data Record SB/DVBE Certification Number: ❑ No ❑ Yes ❑✓ N/A ❑ No ❑ Yes ❑✓ N/A 24. ARE DISABLED VETERANS BUSINESS ENTERPRISE GOALS No(Explain below) ❑ Yes %of Agreement REQUIRED?(If an amendment,explain changes if any) N/A-Interagency Agreement 25. IS THIS AGREEMENT(WITH AMENDMENTS)FOR A PERIOD OF TIME ❑ No Yes(If Yes,provide justification below) LONGER THAN THREE YEARS? Interagency Agreement 1 certify that all copies of the referenced Agreement will conform to the original agreement sent to the Department of General Services. SIGNATURE NAME/TITLE(Print or Type) DATE SIGNED Marissa Enos Digitally signed by Marissa Enos Marissa Enos,Chief,IT Services Contracts Unit 08/28/2024 Date:2024.08.28 11:30:09-07'00' Page 3 of 4 5 CO ID: 5180-222003-A2 STATE OF CALIFORNIA AGREEMENT NUMBER AMENDMENT NUMBER AGREEMENT SUMMARY 22-2003 A2 STD 215(Rev.04/2020) JUSTIFICATION - CALIFORNIA CODE OF REGULATIONS, TITLE 2, SECTION 547.60 In the space provided below, the undersigned authorized state representative documents, with specificity and detailed factual information, the reasons why the contract satisfies one or more of the conditions set forth in Government Code section 19130(b). Please specify the applicable subsection. Attach extra pages if necessary. N/A-Interagency Agreement The undersigned represents that, based upon his or her personal knowledge, information or belief the above justification correctly reflects the reasons why the contract satisfies Government Code section 19130(b). SIGNATURE NAME/TITLE(Print or Type) DATE SIGNED PHONE NUMBER STREET ADDRESS EMAIL CITY STATE ZIP Page 4 of 4 California Department of Social Services Budget Review Sheet 8/13/2024 Budget Bureau Budget Analyst: Gurvir Sidhu Contracting Party: Employment Development Department(EDD) Budget Manager: Grant Darnell Contract Number: 22-2003 A2 Approval Date 5/9/2024 COMMENTS FUNDING INFORMATION 'These chartfields am required if the contract is with another State Agency. Contract Term: 7/1/2022 through 6/30/2027 Federal SLs require CFDA coding on the GEN 944 Contract Amount: $296,850.85 PC Bus: 5180 Affiliate(Other Dept's BU): Fund Affiliate(Other Dept's fund): Funding Strip Fund Ref Account Alt Account Activity ID Project Program Reporting Service Location ENY FY 22-23 FY 23-24 FY 24-25 FY 25-26 FY 26-27 Total Structure 0001-General Fund 141 5432000 5432000000 00 5180561012 4270037 51809990 11610 Annual $819.97 $1,766.20 $1,270.40 $1,270.35 $1,270.35 $6.397.27 0890-Federal Fund 101 5432000 5432000000 00 5180558012 4270010 51809990 21103 Annual $19,680.47 $42,390.86 $30,490.67 $30,490.62 $30,490.62 $153.543.24 0890-Federal Fund 141 5432000 5432000000 00 5180561012 4270037 51809990 21610 Annual $819.97 $1,766.21 $1,270.40 $1,270.34 $1,270.34 $6.397.26 0001-General Fund 001 5340330 5340330000 00 5180558011 9999 51806652 41040 Annual $11,808.12 $25,434.31 $18,294.29 $18,294.13 $18,294.13 $92.124.98 0001-General Fund 001 5340330 5340330000 9999 51806652 42130 Annual $2,460.25 $5,299.10 $3,811.46 $3,811.62 $3,811.62 $19.194.05 0001-General Fund 001 5340330 5340330000 00 5180658011 9999 51806652 42140 Annual $2,460.25 $5,299.10 $3,811.46 $3,811.62 $3,811.62 $19.194.05 Fund type:0890-Federal Fund, 0001-General Fund Total Funding $38,049.03 $81,955.78 $58,948.68 $58,948.68 $58'948.68 $296,850.85 California Department of Social Services Budget Bureau Budget Review Sheet 8/13/2024 Amendments FY 22-23 Fund Ref Proqram Proiect Activity ID Service Location Original Al Al Total A2 A2 Total A3 A3 Total A4 A4 Total 0001-General Fund 141 4270037 5180561012 00 11610 $1,008.82 ($188.85) $819.97 0890-Federal Fund 101 4270010 5180558012 00 21103 $24,211.61 ($4,531.14) $19,680.47 0890-Federal Fund 141 4270037 5180561012 00 21610 $1,008.82 ($188.85) $819.97 0001-General Fund 001 9999 5180558011 00 41040 $14,526.97 ($2,718.85) $11,808.12 0001-General Fund 001 9999 42130 $3,026.45 ($566.20) $2,460.25 0001-General Fund 001 9999 5180658011 00 42140 $3,026.45 ($566.20) $2,460.25 TOTAL: $46 809.12 $8 760.09 $38 049.03 $0.00 $0.00 $0.00 $0.00 FY 23.24 Fund Ref Program Proiect Activitv ID Service Location Original Al Al Total A2 A2 Total A3 A3 Total A4 A4 Total 0001-General Fund 141 4270037 11610 $716.75 $1,049.45 $1,766.20 0890-Federal Fund 101 4270010 21103 $17.201.97 $25,188.89 $42,390.86 0890-Federal Fund 141 4270037 21610 $716.75 $1,049.46 $1,766.21 0001-General Fund 001 9999 41040 $10,321.17 $15,113.14 $25,434.31 0001-General Fund 001 9999 42130 $2,150.24 $3,148.86 $5,299.10 0001-General Fund 001 9999 42140 $2,150.24 $3,148.86 $5,299.10 TOTAL: $33,257.12 $0.00 $0.00 $48,698.66 $81,955.78 $0.00 $0.00 $0.00 $0.00 FY 24.25 Fund Ref Proqram Project Activity ID Service Location Original Al Al Total A2 A2 Total A3 A3 Total A4 A4 Total 0001-General Fund 141 4270037 5180561012 00 11610 $716.75 $553.65 $1,270.40 0890-Federal Fund 101 4270010 5180558012 00 21103 $17,201.97 $13,288.70 $30,490.67 0890-Federal Fund 141 4270037 5180561012 00 21610 $716.75 $553.65 $1,270.40 0001-General Fund 001 9999 5180558011 00 41040 $10,321.17 $7,973.12 $18,294.29 0001-General Fund 001 9999 42130 $2,150.24 $1,661.22 $3,811.46 0001-General Fund 001 9999 5180658011 00 42140 $2,150.24 $1,661.22 $3,811.46 TOTAL: $33,257.12 $0.00 $0.00 $25,691.56 $58,948.68 $0.00 $0.00 $0.00 $0.00 FY 25-26 Fund Ref Program Proiect Activitv ID Service Location Original Al Al Total A2 A2 Total A3 A3 Total A4 A4 Total 0001-General Fund 141 4270037 11610 $1,270.35 $1,270.35 0890-Federal Fund 101 4270010 21103 $30,490.62 $30,490.62 0890-Federal Fund 141 4270037 21610 $1,270.34 $1,270.34 0001-General Fund 001 9999 41040 $18,294.13 $18,294.13 0001-General Fund 001 9999 42130 $3,811.62 $3,811.62 0001-General Fund 001 9999 42140 $3,811.62 $3,811.62 TOTAL: $0.00 $0.00 $0.00 $58,948.68 $58,948.68 $0.00 $0.00 $0.00 $0.00 FY 26-27 Fund Ref Proqram Proiect Activitv ID Service Location Original Al Al Total A2 A2 Total A3 A3 Total A4 A4 Total 0001-General Fund 141 4270037 11610 $1,270.35 $1,270.35 0890-Federal Fund 101 4270010 21103 $30,490.62 $30,490.62 0890-Federal Fund 141 4270037 21610 $1,270.34 $1,270.34 0001-General Fund 001 9999 41040 $18,294.13 $18,294.13 0001-General Fund 001 9999 42130 $3,811.62 $3,811.62 0001-General Fund 001 9999 42140 $3,811.62 $3,811.62 TOTAL: $0.00 $0.00 $0.00 $58 948.68 $58 948.68 $0.00 $0.00 $0.00 $0.00 STATE OF CALIFORNIA-DEPARTMENT OF GENERAL SERVICES SCO ID'5180-222003-A2 STANDARD AGREEMENT-AMENDMENT STD 213A(Rev.4/2020) AGREEMENT NUMBER AMENDMENT NUMBER Purchasing Authority Number © CHECK HERE IF ADDITIONAL PAGES ARE ATTACHED 16 PAGES 22-2003/000000308 A2 DSS-5180 1.This Agreement is entered into between the Contracting Agency and the Contractor named below: CONTRACTING AGENCY NAME California Department of Social Services CONTRACTOR NAME Employment Development Department 2.The term of this Agreement is: START DATE July 1,2022 THROUGH END DATE June 30,2027 3.The maximum amount of this Agreement after this Amendment is: $296,850.85 (Two Hundred Ninety-Six Thousand Eight Hundred Fifty Dollars and Eighty-Five 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: EXHBITTITLE and PAGES Revised Exhibit A-Scope of Work,2 Pages. Revised Attachment A-1,Specifications,4 Pages. Revised Attachment A-2,Project List,6 Pages. Revised Exhibit B,Budget Details and Payment Provisions,4 Pages. A.Exhibit A-Scope of Work,is amended to reflect the update in the end term date from June 30,2025 to June 30,2027 and CDSS Contact Persons. B.Attachment A-1 -Specifications,is amended to reflect expounded language under Section I.Methodology regarding generated products. C.Attachment A-2-Project List,is amended to reflect expounded language on page 6 of the document. D.Exhibit B,Budget Details and Payment Provisions,is amended to reflect the increase of the maximum total amount from$113,323.36 to$296,850.85 and the verbiage change from CDSS to EDD Data Recipient. E.The effective date for this amendment is upon approval by the Department of Social Services. 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.) Employment Development Department CONTRACTOR BUSINESS ADDRESS CITY STATE ZIP 722 Capitol Mall,MIC 62-C Sacramento CA 95814 PRINTED NAME OF PERSON SIGNING TITLE Lauren Prizmich Chief,Office of Procurement,Contracting&Admin CONTRACTOR AUTHORIZED SIGNATURE DATE SIGNED 8/28/2024 Page 1 of 2 STATE OF CALIFORNIA-DEPARTMENT OF GENERAL SERVICES SCO ID'5180-222003-A2 STANDARD AGREEMENT-AMENDMENT STD 213A(Rev.4/2020) AGREEMENT NUMBER AMENDMENT NUMBER Purchasing Authority Number © CHECK HERE IF ADDITIONAL PAGES ARE ATTACHED 16 PAGES 22-2003/000000308 A2 DSS-5180 STATE OF CALIFORNIA CONTRACTING AGENCY NAME California Department of Social Services CONTRACTING AGENCY ADDRESS CITY STATE ZIP 744 P Street,MS 9-6-747 Sacramento CA 95814 PRINTED NAME OF PERSON SIGNING TITLE Marissa Enos Chief,IT Services Contracts Unit CONTRACTING AGENCY AUTHORIZED SIGNATURE DATE SIGNED 8/28/2024 CALIFORNIA DEPARTMENT OF GENERAL SERVICES APPROVALApplicable)VIV PAAL:DSS-5180 Page 2of2 EDD Agreement No.0000000308 A2 CDSS Agreement No.22-2003 A2 EDD/CDSS Customer Code: E00096/E00097 Page 1 of 2 REVISED EXHIBIT A (Interagency Agreement) This Agreement is entered into by and between the Employment Development Department, hereinafter referred to as the EDD and the California Department of Social Services, hereinafter referred to as the CDSS. It sets forth the terms and conditions for the release of EDD confidential data to the CDSS. SCOPE OF WORK I. Purpose The EDD agrees to provide the CDSS with confidential EDD information of wage and unemployment insurance (UI) benefit payment history as specified in this Agreement. The CDSS agrees to use the confidential information provided by the EDD under this Agreement to create aggregate or summary level frequency distributions, tables, and complex statistical analyses. This output is used-primarily for internal research, budget development, performance monitoring, and program evaluations. The CDSS will also use this output for special, mandated evaluation projects where the CDSS contracts an evaluator as described in Attachment A-2 Project List. The EDD agrees that the confidential information provided to the CDSS may be disclosed to the approved CDSS project evaluators listed on Attachment A-2 Project List. Future subcontracted projects must be evaluated and approved by the EDD before any disclosures of EDD confidential data can take place. II. Legal Authority The EDD provides confidential wage and Unemployment Insurance(UI) information to the CDSS pursuant to section 1095(ai) of the Unemployment Insurance Code (UIC). The CDSS shall request and use the EDD's confidential information for the sole purpose of conducting, internal research, budget development, performance monitoring and program evaluation pursuant to the statutory authorities listed in Attachment A-2 Project List: Sections 10540.5(a)-(e), 10541, 10606.1, 10609.4, 10850(2)(f), 11520-11521.7, 11525, 15204.6, 18997.1 of the Welfare and Institutions Code, and Section 1095(ai)of the UIC, and Sections of 7 United States Code (USC) Section 611, 42 USC Section 677 of the Social Security Act, and the Agriculture Act of 2014 (P.L. 113-79 Section 4022). III. Term Dates The term of the agreement is July 1, 2022 through June 30, 2027. EDD Agreement No.0000000308 A2 CDSS Agreement No. 22-2003 A2 EDD/CDSS Customer Code: E00096/E00097 Page 2 of 2 REVISED EXHIBIT A (Interagency Agreement) IV. Agreement Representatives 1. The EDD's contact persons are: AGREEMENT NEGOTIATIONS, CONFIDENTIALITY, AND TECHNICAL ASSISTANCE Mason Moulay or Designee Information Security Office, MIC 33 Employment Development Department P.O. Box 826880 Sacramento, CA 94280-0001 Phone: (916) 937-5520 Email: Mason.Moulay(a)edd.ca.gov cc: ISO PrivacvDisclosureUnit(a)edd.ca.gov FISCAL Employment Development Department Accounts Receivable Unit, MIC 70 P.O. Box 826217 Sacramento, CA 94230-6217 Phone: (916)654-9440 2. The CDSS' contact persons are: AGREEMENT NEGOTIATIONS AND ADMINISTRATION Na; Saephan Kirstin Sibaila California Department of Social Services 744 P Street, MS 8-5-26 Sacramento, CA 95814 Phone: (916) 653-1826 Email: DataAccessUnit(a dss.ca.gov FISCAL MATTERS Mayra Macias California Department of Social Services 744 P Street, MS 8-5-26 Sacramento, CA 95814 Phone: (916) 653-1826 Email: DataAccessUnit(a dss.ca.gov CONFIDENTIALITY AND DATA SECURITY ASSIGNMENTS Data Security and Integrity: Gregory Nelson Internal Distribution of the EDD products: jennifer Esper-a Cate Bird 3. Either party may make changes to the Agreement Representatives information above by giving written notice to the other party. Said changes shall not require an amendment to this Agreement. EDD Agreement No. 0000000308 A2 CDSS Agreement No. 22-2003 A2 EDD/CDSS Customer Code: E00096/E00097 Page 1 of 4 REVISED ATTACHMENT A-1 (Interagency Agreement) SPECIFICATIONS I. METHODOLOGY: CALIFORNIA DEPARTMENT OF TECHNOLOGY SERVICES SECURE ELECTRONIC TRANSMITTAL SERVICE 1. The CDSS submits to the EDD, via disk, the social security number of individuals specified in this Agreement under Customer Code E00096 and E00097. 2. On matching records.,the EDD produces and delivers, via disk, the abstract reports authorized under this agreement. 3. On a quarterly basis the EDD invoices the CDSS for the total number of SSN products requested. tFaRSaGtiGRS s,,aFGh Each SSN submitted may generate 1 to 26 products, depending on the types of ABS reports requested. II. RESPONSIBILITIES 1. The EDD agrees to: a. Provide the CDSS with a copy of Abstract System Customer Instruction Packet. b. Provide a file name for the CDSS to copy all their input requests into. File will contain all input requests (SSNs) formatted to the EDD specifications in the Abstract System Customer Instruction Packet. c. Make use of the Generation Data Set (GDS) set up by the CDSS Resource Access Control Facility (RACF) at the California Department of Technology Services (CDT): 1. EMBP.ABS.ABS990.ABS.REQUESTS.E00096 (Current and Archive Wages) 2. EMBP.ABS.ABS990.ABS.REQUESTS.E00097 (Current and Archive UI Data) d. Schedule a search match of the Social Security Numbers (SSN) from the input file provided by CDSS with the EDD data file. On positive matches the EDD will provide the following EDD abstract data files: (1) Current Wage Abstract (2) Current Unemployment Insurance Payment History (3) Unemployment Insurance Payment History (2-4 years) (4) Unemployment Insurance Payment History (4-7 years) (5) Archive Wage Abstract e. Place the "output' Abstract System Files, formatted to the EDD specifications on two (2) disk data sets at CDT with the following Data Set Names (DSN): 1. BPEM.ABS.ABS201.ABSTRAC.X200.E00097 (Current and Archive UI Data) 2. BPEM.ABS.ABS963.ABSTRAC.X089.E00096 (Current and Archive Wage Data) f. Monitor and assess the status of the data to ensure that the terms, conditions, and disclosure constraints stipulated in this Agreement are followed. This compliance review is part of the EDD contract monitoring process. EDD Agreement No. 0000000308 A2 CDSS Agreement No. 22-2003 A2 EDD/CDSS Customer Code: E00096/E00097 Page 2 of 4 REVISED ATTACHMENT A-1 (Interagency Agreement) g. Protect the information provided by the CDSS as confidential information and will adhere to the security and confidentiality provisions outlined in Exhibit E—Protection of Confidentiality Provisions, attached hereto and made part of the Agreement for the protection of that information. h. The EDD will instruct all the EDD personnel assigned to work with the information provided by the CDSS that this information is considered confidential information and is to be treated in the same manner as the EDD confidential material. i. The EDD will ensure that all the EDD personnel assigned to work with the information provided by the CDSS have signed the EDD Confidentiality Statement (Attachment E-1. Rev. 11-2021) j. EDD acknowledges that the names of social services clients and applicants are confidential per section 10850 of the Welfare and Institutions Code (WIC) and will be secured in accordance with the California State Administrative Manual (state policy) requirements. k. Review and respond to future CDSS research, demonstration, or program evaluation project approval requests within 30 days. 2. The CDSS agrees to: a. Request only the EDD information specifically authorized under this Agreement. Requests will be made on an as needed basis. b. Submit only the social security numbers of individuals who are identified as current and/or former public assistance and program recipients authorized under this agreement. c. The CDSS will submit social security numbers under the EDD Customer Codes: E00096 and E00097 formatted to the system specifications listed in the Abstract System Customer Instruction Packet with the DSNs: 1. EMBP.ABD.ABS990.ABS.REQUESTS.E00096 (Current and Archive Wages) 2. EMBP.ABD.ABS990.ABS.REQUESTS.E00097 (Current and Archive UI Data) d. Format all requests (SSNs) to the EDD specifications in the Abstract System Customer Instruction Packet. e. Provide the EDD all Abstract Input requests (SSNs)for the limited purpose of allowing the EDD to match the SSNs with the EDD data files to provide CDSS wage and UI information. The CDSS information may not be otherwise used or further disclosed by the EDD. f. Pick up all Abstract output information from the two (2) disk data sets at CDT with the following Data Set Name (DSN): 1. BPEM.ABS.ABS953.ABSTRAC.X089.E00096 (Current and Archive Wage Data) 2. BPEM.ABS.ABS953.ABSTRAC.X089.E00097 (Current and Archive UI Data) g. Use the specified ABS data files for only the purpose of creating aggregate or summary level frequency distributions, tables and complex statistical analysis for internal research, budget development, performance monitoring, and program evaluation. The CDSS will also use this output for special, mandated, evaluation projects where the CDSS contracts an evaluator as described in Attachment A-2 Project List. EDD Agreement No. 0000000308 A2 CDSS Agreement No. 22-2003 A2 EDD/CDSS Customer Code: E00096/E00097 Page 3 of 4 REVISED ATTACHMENT A-1 (Interagency Agreement) h. Comply with the EDD's Data Minimization and Retention Standard (DM3) when preparing any non-confidential, aggregated, and statistical form data files for public access containing EDD data. i. The EDD has reviewed and approved CDSS standard publications with high level aggregation of EDD data. Any updates to those standard CDSS publications will not need to be resubmitted to EDD for future review and approval. ii. The EDD agrees that any CDSS publication of EDD aggregate data that includes 100 respondents or more shall not require prior review and approval. Any CDSS publication based upon fewer than 100 respondents shall be submitted to EDD for review and approval no later than 30 days prior to publication. i. Not disclose any individually identifiable the EDD information to any person or agency other than those authorized specifically under this Agreement. Future CDSS Research, Demonstration, Program Evaluation projects must be evaluated and approved by EDD before any data can be requested or redisclosed under this Agreement. The approval request for any new projects must include: 1) Project purpose and statutory authority; 2) A full description of how data will be used and distributed; 3) Name of all public and/or private contractors and/or subcontractors that will received EDD information; 4) An executed copy(ies) of the CDSS contractor and/or subcontractor. j. Ensure that all contracts established with other private and/or public contractors and/or subcontractors with access to the EDD confidential information disclosed under this Agreement include all EDD confidentiality provisions specified herein. k. Instruct all the CDSS and contractor/subcontractor staff with access to the information provided by the EDD under this Agreement regarding the: (1) the confidential nature of the information; (2) the requirements of this Agreement; (3) the need to adhere to the security and confidentiality provisions outlined in Exhibit E— Protection of Confidentiality Provisions; and (4) the sanctions and penalties against unauthorized use or disclosure found in sections 1094 and 2111 of the UIC, the section 1798.55 of the California Civil Code, and section 502 of the California Penal Code. I. Oversee the CDSS and contractor/subcontractor staff in their use of confidential information received from the EDD. m. Ensure that all the CDSS personnel assigned to work with the information provided by the EDD have signed the CDSS Confidentiality Statement. n. Adhere to security and confidentiality provisions outlined in Exhibit E, Interagency Agreement (security provisions), attached hereto and made part of the Agreement for the protection of any information exchanged between the CDSS and the EDD. o. Comply with the UIC on any matters pertaining to the access, use, and/or release of data under this agreement. Failure to comply with this provision shall be deemed a breach of this agreement and shall be grounds for cancellation of this agreement. p. CDSS shall not release the EDD's confidential information to any entity which is a private collection agency (UIC, §1095(u)). q. Cooperate with the EDD's authority to monitor this Agreement in accordance with Exhibit E, paragraph IL(e) and (f). EDD Agreement No. 0000000308 A2 CDSS Agreement No. 22-2003 A2 EDD/CDSS Customer Code: E00096/E00097 Page 4 of 4 REVISED ATTACHMENT A-1 (Interagency Agreement) r. Comply with section 603.9, Title 20 of the Code of Federal Regulations with respect to any EDD confidential information. s. Pursuant to federal law, if the CDSS fails to comply with any provision of this Agreement, including timely payment of the EDD's costs under this Agreement, this Agreement shall be suspended,. and no further disclosures will be made until the EDD is satisfied that corrective action has been taken and there will be no further breach. In the absence of prompt and satisfactory corrective action, this Agreement will be cancelled and the CDSS shall surrender to the EDD all confidential information obtained under this Agreement which has not been previously returned to EDD, and any other information relevant to the Agreement. 20 C.F.R. Part 603.10(c)(1). 3. Joint Responsibilities: a. Designate staff to have primary responsibility for program liaison, coordination of activities, and to meet, when necessary, to further redefine specific program procedures. b. Not disclose any the EDD or the CDSS information to any person or agency other than those authorize specifically under this Agreement. c. To cooperate fully and furnish such assistance as may be mutually agreed upon by the parties hereto as being necessary and appropriate for proper performance of this Agreement. III. ACCURACY ASSESSMENT Individual employers and claimants report the information in the EDD's files. Since the EDD is not the originator of the information disclosed, the EDD cannot guarantee the accuracy of the information. 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'v 'C5c OO G O a) Q- o O4 —O) N > "— N NNY O _ U 4U) O EOU) co ) fiN 0co CO p ENa) ia N N 0 0 o N CNB OU OOU@ 0 -A CO U) co m a E0) 3 a O O D b � ow O � .7 Z co 4) c(6.7 cNU � V �Y 0 N N U O c cv � a Q,z LL • ul EDD Agreement No. 0000000308 A2 CDSS Agreement No. 22-2003 A2 EDD/CDSS Customer Code: E00096/E00097 Page 1 of 4 REVISED EXHIBIT B (Interagency Agreement) I. BUDGET DETAILS AND PAYMENT PROVISIONS a. The maximum amount of this Agreement shall not exceed One H Rdred Thirteen The sand Throe H Rdred Twerity Three Dollars and ThiFty Sox Gents ($11 o323 36). Two Hundred Ninety-Six Thousand Eight Hundred Fifty Dollars and Eighty-Five Cents ($296,850.85). • FY 22/23 - $46,802.46 $38,049.03 • FY 23/24 - $3�c5r.45 $81,955.78 • FY 24/25 - $3�c5r.45 $58,948.68 • FY 25/26 - $58,948.68 • FY 26/27 - $58,948.68 b. In consideration of the performance and completion of the foregoing in a satisfactory manner, and upon receipt of a detailed invoice, in triplicate, quarterly in arrears, the GD99 EDD Data Recipient shall reimburse the EDD the total amount due, based on the following product rate structure plus administrative costs for contracting: • The administrative costs for contracting include the costs for development, processing, and maintenance of an Agreement which averages $1,500 per agreement. Your Agreement will be charged an administrative cost of$125.00 per quarter for a 3-year Agreement. These costs are computed in accordance with sections 97529210 and 8752.19211 of the State Administrative Manual. Ghaapter 3,Par 1, 3 Title Geyerr,merit Ge J of the State ref Galifemia• and • The felleWiRg rate nhar#will apply for the mass media /rho#ran# pFeGess: ..............................................................................................._.................................................................................... If the n, nq ilptmyp i Then the nest fnr CUFF Then the nest fnr Fl amber of requested Data arld Archove Wag es Archive 1 II/D! Data prod into per-quarter per rervi este •1 pre in# per requested nred inf shall shall be: ...................................................................................E..................................................................................................................................................................................E 261 2,009 0-1 2621 0' 54F2 ...................................................................................:...............................................................................................:...................................................................................i 001 1 n nnn n n� 9.04326 ...................................................................................:..................................................................................................................................................................................: 10,001 250 nnn 9-00519 0.0102 250,001 1 nnilli„n0.00146 0.001146 MOM than 1 MilliOR0.00121 0.00121 • $0.00121 per product charge c. The GDSSEDD Data Recipient shall be charged for the total number of products requested. Each SSN submitted may generate 1 to 526 products, depending on the types of ABS reports requested. EDD Agreement No. 0000000308 A2 CDSS Agreement No. 22-2003 A2 EDD/CDSS Customer Code: E00096/E00097 Page 2 of 4 REVISED EXHIBIT B (Interagency Agreement) d. The maximum amount of this Agreement has been computed based on a total of an estimated 6,768,000 SSNs per quarter, as well as a special one-time request of 5,600,000 SSNs,(billing will be at actual value based on volume), as follows: EDD ABSTRACT FORMULA COST Fiscal Year 2022/2023 $38,049.03 Charge moved from Fiscal Year 22/23 $9,455.10 to 23/24 Current Wages 1 product 6,504,000 x .00121 x $94,438.08 1642Q 125 917.44 UI Claim History- Current 1 product 10,000 x .00121 x $145.20 164-2Q 193.60. UI Claim History- 2-4 ears 1 product 5,600,000 x .00121 x 1Q $6,776.00 UI Claim History- 4-7 ears 1 product 5,600,000 x .00121 x 1Q $6,776.00 Archive Wages (1 product per quarter 1 product 254,000 x .00121 x $3,688 96 of data) 164-2Q x 22#Archive Q — 108 183.68 Administrative Fees $1,500.00 Total for 3-year contract $443 6 296 850.85 e. The EDD Invoices will reference the EDD Agreement No. 0000000308 Am. 2 and the EDD customer code E00096 and E00097; and shall be submitted for payment to: Christopher Daniels Chief, Data Stewardship Section 744 P Street, MS 8-5-26 Sacramento, CA 95814 DataAccessU nit(c�dss.ca.gov f. The EDD Data Recipient GDSS payment must reference the EDD Invoice Number, the EDD Agreement number 0000000308 Am. 2, and the EDD customer code E00096 and E00097; and be submitted to: Employment Development Department Accounting Section, MIC 70 P.O. Box 826217 Sacramento, CA 94230-6217 EDD Agreement No. 0000000308 A2 CDSS Agreement No. 22-2003 A2 EDD/CDSS Customer Code: E00096/EO0097 Page 3 of 4 REVISED EXHIBIT B (Interagency Agreement) Pursuant to Office of Management and Budget (OMB) Circular A-133, the Contractor shall provide the sub-recipients with the Catalog of Federal Domestic Assistance (CFDA) Number and Program Title. Invoices shall also include the following CFDA Number and Program Title: CFDA Number: 93.658 CFDA Program Title: Foster Care -- Title IV-E CFDA Number: 93.558 CFDA Program Title: Temporary Assistance for Needy Families (TANF) CFDA Number: 10.551 CFDA Program Title: Supplemental Nutrition Assistance Program (SNAP) Any invoices submitted without the above referenced information may be returned to the Contractor for further re-processing. g. Payment will be Fnade on aGGerdaRGe with, and within the time speGified on, Title 1, DiViSiGR , Part 3, it rn Chapter 5 of the Government Cede. ede h. If payment has not been received for a non-disputed invoice within 60 days of the invoice date, the EDD, in accordance with section 11255 of the Government Code, will provide the EDD Data Recipient CDSS with a 30-day notification of its intent to initiate a Transaction Request with the State Controller's Office to transfer funds from the EDD Data Recipient CDSS to the EDD. For the purpose of transferring funds, the EDD Data Recipient CDSS shall provide the following appropriation data to the EDD: Fund Number: 0001 Organization Code: 5180 Fiscal Year(s): 22/23, 23/24, 24/25 Category or Program: 9999 If applicable, the EDD Data Recipient CDC will additionally provide the Element, Component, and Task: Element: N/A Component: N/A Task: N/A i. Nothing herein contained shall preclude advance payments, pursuant to Article 1, Chapter 3, Part 1, Division 3, Title 2 of the Government Code of the State of California. II. STATE BUDGET CONTINGENCY CLAUSE a. It is mutually agreed that if the Budget Act of the current year and/or any subsequent years covered under this Agreement does not appropriate sufficient funds for the program, this Agreement shall be of no further force and effect. In this event, the EDD Data Recipient CDC shall have no liability to EDD Agreement No. 0000000308 A2 CDSS Agreement No. 22-2003 A2 EDD/CDSS Customer Code: E00096/E00097 Page 4 of 4 REVISED EXHIBIT B (Interagency Agreement) pay any funds whatsoever to Contractor or to furnish any other considerations under this Agreement and Contractor shall not be obligated to perform any provisions of this Agreement. b. If funding for any fiscal year is reduced or deleted by the Budget Act for purposes of this program, the EDD Data Recipient GDSS shall have the option to either cancel this Agreement with no liability occurring to the EDD Data Recipient GDSS, or offer an agreement amendment to Contractor to reflect the reduced amount. III. FOR CONTRACTS WITH FEDERAL FUNDS a. It is mutually understood between the parties that this Agreement may have been written before ascertaining the availability of Congressional appropriation of funds, for the mutual benefit of both parties, in order to avoid program and fiscal delays which would occur if the Agreement were executed after that determination was made. b. This Agreement is valid and enforceable only if sufficient funds are made available to the EDD Data RecipientGDSS by the United States Government for the term of this Agreement for the purposes of this program. In addition, this Agreement is subject to any additional restrictions, limitations, or conditions enacted by the Congress or any statute enacted by the Congress which may affect the provisions, terms, or funding of this Agreement in any manner. c. It is mutually agreed that if the Congress does not appropriate sufficient funds for the program, this Agreement shall be amended to reflect any reduction in funds. d. The EDD Data Recipient GDSS has the option to invalidate the Agreement under the 30-day cancellation clause or to amend the Agreement to reflect any reduction of funds. IV. REVIEWS Each party reserves the right to review service levels and billing procedures as these impact charges against this Agreement. V. FINAL BILLING Invoices for services must be received by the EDD Data Recipient GDSS within 90 days following each state fiscal year, or 90 days following the end of the contract term, whichever comes first. The final invoice must include the statement "Final Billing."