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DS CALENT3; AT&TATTACHMENT 4 — AUTHORIZATION TO ORDER (ATO) Page 1 of 4 AUTHORIZATION TO ORDER UNDER STATE CONTRACT AT&T and the State of California ("State") have entered into a Contract for CALNET 3 Statewide Contract B (SWC -B), C3 -B -12 -10 -TS -01, for the following Category/Subcategories and terms. The State may, at its sole option, elect to extend the Contract term for up to the number of additional periods of one (1) year each as indicated below. Pursuant to the Contract, which is incorporated herein by reference, any public agency, as defined in Government Code section 11541, is allowed to order services and products ("Services') solely as set forth in the Contract. A non -State public Entity (herein "Non -State Entity") shall also be required to complete and submit this Authorization to Order (ATO) Under State Contract prior to ordering Services. A description of the Service(s), applicable rates and charges and the specific terms and conditions under which the Service(s) will be provided to a Non -State Entity are fully set forth in the Contract. Access to the Contract is available at htta://www.otech.ca.gov/stnd/calnet3/ . I City of San Rafael I ("Non -State Entity') desires to order Service(s), and Contractor agrees to provide such Service(s), as identified in the State of California, Telecommunications Service Request (Form. 20), pursuant to the terms and conditions and rates contained in the Contract. E -Rate Customers Only complete if applying for E -Rate funding: I insert Non -State Entity Name here N intends to seek Universal Service Funding (E -Rate) for eligible services provided under this ATO. The Service(s) ordered under this ATO shall commence on I Insert month, day, year I ("Service Date"). Upon the Service Date, this ATO supersedes and replaces any applicable serving arrangements between Contractor and Non -State Agency for the Service(s) being ordered under this ATO. 1 year Optional Cateaorv/Subcateaory Contract Award Contract End Extensions 2 Network Based Web March 26, 2014 June 30, 2018 2 Conferencing March 26, 2014 June 30, 2018 2 3 Metropolitan Area Network (MAN) Ethernet 4.2 SONET— Point -to -Point March 26, 2014 June 30, 2018 2 Connectivity 5 Managed Internet Services March 26, 2014 June 30, 2018 2 6.1 hosted IVR/ACD Services March 26, 2014 June 30, 201B 2 7 Network Based Managed March 26, 2014 June 30, 2018 2 Security Pursuant to the Contract, which is incorporated herein by reference, any public agency, as defined in Government Code section 11541, is allowed to order services and products ("Services') solely as set forth in the Contract. A non -State public Entity (herein "Non -State Entity") shall also be required to complete and submit this Authorization to Order (ATO) Under State Contract prior to ordering Services. A description of the Service(s), applicable rates and charges and the specific terms and conditions under which the Service(s) will be provided to a Non -State Entity are fully set forth in the Contract. Access to the Contract is available at htta://www.otech.ca.gov/stnd/calnet3/ . I City of San Rafael I ("Non -State Entity') desires to order Service(s), and Contractor agrees to provide such Service(s), as identified in the State of California, Telecommunications Service Request (Form. 20), pursuant to the terms and conditions and rates contained in the Contract. E -Rate Customers Only complete if applying for E -Rate funding: I insert Non -State Entity Name here N intends to seek Universal Service Funding (E -Rate) for eligible services provided under this ATO. The Service(s) ordered under this ATO shall commence on I Insert month, day, year I ("Service Date"). Upon the Service Date, this ATO supersedes and replaces any applicable serving arrangements between Contractor and Non -State Agency for the Service(s) being ordered under this ATO. ATTACHMENT 4— AUTHORIZATION TO ORDER (ATO) Page 2 of 4 This ATO shall become effective upon execution by Non -State Entity, Contractor, and the Office of Technology Services, Statewide Telecommunications and Network Division (OTech/STND). No Service(s) shall be ordered by Non -State Entity or provided by Contractor until this A 10 has been executed by both parties and approved by OTech/STND. By executing this ATO, Non -State Entity agrees to subscribe to the selected services, and Contractor agrees to provide selected services, in accordance with the terms and conditions of this ATO and the Contract. Upon execution of this ATO by Non -State Entity and Contractor, Contractor shall deliver this ATO to OTech/STND for review and approval. The State may, at its sole discretion, revoke any applicable previously approved ATO. The OTech/STND will provide Contract management and oversight, and upon request by the Non -State Entity or Contractor, will advocate resolving any Contract service issues. The ATO, and any resulting Form 20, is a Contract between the Non -State Entity and the Contractor. The State will not represent the Non -State Entity In resolution of litigated disputes between the parties. Non -State Entity may terminate this ATO, for specific Service(s) or in total, prior to termination of the Contract, by providing the Contractor with thirty (30) calendar days' of written notice of cancellation. This ATO shall not exceed the term of the CALNET 3 Contract. Non -State Entity, upon execution of this ATO, certifies that Non -State Entity understands that Contractor and the State may, from time to time and without Non -State Entity's consent, amend the terms and conditions of the Contract thereby affecting the terms of service Non -State Entity receives from Contractor. Non -State Entity. upon execution of this ATO, certifies that it has reviewed the terms and conditions, including the rates and charges, of the Contract. Non -State Entity, upon execution of this ATO, certifies the Non -State Entity understands that billing Invoices for Service(s) subscribed to under the Contract are subject to review and/or audit by the State, pursuant to provisions of the Contract. All Service(s) ordered under this ATO will be submitted using the Form 20, signed by the Non - State Entity's authorized signatory. Any additions or deletions to Service(s) shall likewise be accomplished by submission of a Form 20, noting changes. The Non -State Entity understands that Form 20s are subject to review by the CALNET 3 CMO to ensure contract compliance. Non -State Entity, upon execution of this ATO, certifies the Non -State Entity understands that the Contractor shall provide CALNET 3 CMO all data, reports, and access to trouble tickets for Service(s) subscribed to under the Contract, pursuant to provisions of the Contract. Non -State Entity may, by placing Service orders issued by its duly authorized representative with Contractor, order any of the Service(s) listed in the Contract and selected below. Contractor shall bill Non -State Entity, and Non -State Entity shall pay Contractor according to the terms and conditions and rates set forth in the Contract for such Service(s). ATTACHMENT 4— AUTHORIZATION TO ORDER (ATO) Page 3 of 4 Whenever any notice or demand is given under this Contract to Contractor or Non -State Entity, the notice shall be in writing and addressed to the following: Non -State Entity: City of San Rafael 11400 5th Ave )San Rafael Ca 94901 Attn.'Gus Bush 1415-458-5302 jaus.bush6cltvofsanrafael.ora Contractor: AT&T 2700 Watt Avenue, Room 1213 Sacramento, CA 95821 Attn: Contract Program Manager Notices delivered by overnight courier service shall be deemed delivered on the day following mailing. Notices mailed by U.S. Mail, postage prepaid, registered or certified with return receipt requested, shall be deemed delivered five (5) State business days after mailing. Notices delivered by any other method shall be deemed given upon receipt. IN WITNESS WHEREOF, the parties hereto have caused this ATO to be executed on the date shown below by their respective duly authorized representatives: NON -STATE ENTITY CONTRACTOR By: Authorized Signature By: Authorized Signature i�2�iu cyd l2rTitle✓a..�-e Printed Name a of Person Signing Nancy Mackle City Manager Date Signed: July 13, 2015 Digitally signed by Michael Duncan a Dbf BoMtthaSlgtaittgn, o=AT&T,ou=CC50, ema11=md1251 @att.com, at Gee a n Date: 2015.07.21 11:35:19 -0700' Approved Sv: State of California Department of Technology, Statewide Telecommunications and Network Division By:=nature Signature Printed Name and Title of Person Signing i(abric-(a Date Signed: vd--r�isAr 16 t Argy_ ATTACHMENT 4 — AUTHORIZATION TO ORDER (ATO) Page 4 of 4 I City of San Rafael Select services for Selected Services AT&T C3 -B -12 -10 -TS -01 Customer Initials Network Based Web Conferencing Category 2 Metropolitan Area Network (MAN) Ethernet ,u Category 3 x SONET — Point-to-point Connectivity M Supcategory 4.2 Managed Internet Services Category 5 Hosted IVR/ACD Services yr Subc egory 6.1 Security Network Based Managed Category 7 TPX_0( Sat ATTACHMENT 11 TO CALNET 3 STATEWIDE CONTRACT (IFB STPD 12-001-A, C3 -A -12 -10 -TS -01), SUBCATEGORY 1.6 INDIVIDUAL PRICE REDUCTION NOTIFICATION The State of California ("State") and AT&T Corp ("AT&T" or "Contractor", CALNET 3 Statewide Contract IFB STPD 12-001-A, M -A -12 -10 -TS -01) have entered into CALNET 3 Statewide Contract (IFB STPD 12-001-A, C3 -A -12 -10 -TS -01) ("Contract") for Subcategory 1.6 Legacy Telecommunications Service(s) dated November 15, 2013. All terms and conditions (including Definitions) set forth in the Contract are incorporated herein by reference. This Individual Price Reduction Notification (IPRN) document provides notice to the Office of Technology Services, Statewide Telecommunications and Network Division ("OTech/STND") of the Service(s), location(s) and Individual Price Reduction (IPR) Service rate(s) offered by Contractor for the listed Agency as specified below. The IPR Service rate(s) specified below shall become effective upon approval of this IPRN by OTech/STND, unless otherwise noted in this IPRN document, subject to the conditions provided in the Contract (see IFB Section A.7 Individual Pricing Reductions (IPR) and Statement of Work, Appendix C Special Terms and Conditions -- Telecommunications, Section N of the referenced Contract) and herein below: City of San Rafael ("Agency") desires to purchase and the Contractor agrees to provide the following Service(s) available pursuant to Subcategory Insert Subcategory Number at the location(s) and reduced rate(s) set forth below: Description of Contract Service(s): 1.6.2.3.2 Business Access Line Features; 1.6.2.4 Central Office Exchange Services and Features; IPR Service rate(s): 1.6.2.3.2 Business Access Line Features; 1.6.2.4 Central Office Exchange Services and Features Feature Name Contractor's Current Proposed Current Proposed Product Contract IPR Contract IPR Identifier Price/NRC Price/NRC PriceMRC• Price/MRC' Basic Business Access Line BLB01 $125.00 $125.00 $9.65 $8.52 Insert Subcategory Section Number and Name, If more than one Section Number Feature Name Contractor's Current Proposed Current Proposed Product Contract IPR ContractIPR Identifier Price/NRC Price/NRC Price/MRC,, Price/MRC• Primary Station Line AAFU $70.00 $70.00 $6.67 $5.54 *Monthly recurring rates include administrative fee. Rev. January 15, 2015 Amendment #2 Locations) (service address(es)) where reduced rate(s) apply: Insert location of where reduced rates will apply. Requested effective date of rate reduction(s): Upon installation or conversion of service to CALNET 3, whichever is later. Expiration date: June 30, 2016. Termination liability: As set forth below under "Duration IPR" Use additional pages as necessary and attach to the IPRN document. Rev. January 15, 2015 Amendment #2 Set forth below are Contract provisions that apply to the IPR process: A.7 INDIVIDUAL PRICING REDUCTIONS (IPR) A.7.1 IPR GENERAL PROVISIONS Contractor may enter into price negotiations with CALNET 3 Customers. These price negotiations allow Contractor to reduce prices: a) on one (1) or more service(s); b) for one (1) or more Customers at a time; and/or c) by geographic area or location(s). CALNET 3 allows for three (3) different Individual Price Reduction (IPR) scenarios: Standard IPR, Duration IPR, and Non -Exemption IPR. The following general provisions apply to all IPRs: 1. Contractor shall submit to CALNET 3 CMO an electronic copy of an MS Excel document consisting of an analysis of current Contract pricing and proposed IPR pricing; 2. The following information and the data fields shall appear as columns on the MS Excel document in the order specified below: a. Category; b. Subcategory; c. Feature Name; d. Product Identifier, e. Customer NRC; f. Proposed IPR Customer NRC; g. IPR Percentage Discount for NRC; h. Customer MRC; i. Proposed IPR Customer MRC; j. IPR Percentage Discount for MRC; k. Tenn IPR Y/N; I. Term IPR Competitor's Price NRC; and, in. Term IPR Competitor's Price MRC. 3. CALNET 3 CMO has final approval authority for all IPRs. An IPR shall not be implemented until approved in writing by CALNET 3 CMO. An IPR becomes effective on the date that it is approved by CALNET 3 CMO, unless otherwise noted for a future date in the IPR Notification (IPRN) document; 4. Within ten (10) Business Days of a Customer's concurrence to an IPR, the Contractor shall submit the IPR on an IPRN document to the CALNET 3 CMO for written approval; 5. No additional service taxes, fees, surcharges or surcredits will be allowed except as described in Section A.5.8 (Service Taxes, Fees, Surcharges, and Surcredits) and SOW Appendix C, Special Terms and Conditions - Telecommunications, Section T (Service Taxes, Fees, Surcharges, and Surcredits); 6. Once an IPRN is approved by CALNET 3 CMO, Contractor shall not cancel or increase pricing for any service listed in the IPRN; Rev. January 15, 2015 Amendment #2 7. All IPRs shall be subject to examination and audit pursuant to PMAC General Provisions - Telecommunications, Section 44 (Examination and Audit); 8. The IPRN and information regarding the approved IPR service rate(s) shall be subject to the California Public Records Act; and, 9. Implementation of an approved IPR does not require reduction of Contracted rate(s) for service(s), pursuant to SOW Appendix C, Special Terms and Conditions Telecommunications, Section I ("Most Favored Nation") Status of State, and PMAC General Provisions —Telecommunications, Section 30 (Additional Rights). However, if Contracted rate(s) are reduced below the IPR rate(s) for such service(s), the reduced Contracted rate(s) shall automatically apply to the IPR, but the term commitments shall remain in place for Duration IPRs and Non -Exempt IPRs. A.7.2 STANDARD IPRs The following provisions apply to Standard IPRs: I. The Contractor shall be allowed to reduce one (1) or more Contracted service prices for a Customer for the Term of the Contract; 2. IPRs shall be for reduced service pricing only. All other Contract terms and conditions, including Service Level Agreements, will remain unchanged; 3. Customer may cancel any or all services(s) subject to the Standard IPR without penalty; and, 4. The Standard IPR Service rate(s) shall continue in effect from the date of IPR approval by CALNET 3 CMO through the remainder of the Term of the Contract unless terminated earlier by Customer or CALNET 3 CMO in accordance with the terms and conditions of the Contract, or if IFB STPD 12-001-A Section A.7.1 (IPR General Provisions) #8 applies. A.7.3 DURATION IPRs The following provisions apply to Duration IPRs: 1. The Contractor may offer individual price reductions that require term commitments; 2. Acceptance of any solicitation or offer from the Contractor shall be at the sole discretion of the Customer; 3. Duration IPRs shall be for reduced service pricing and term commitment only. All other Contract terms and conditions, including Service Level Agreements, will remain unchanged; 4. The duration of a Duration IPR shal I not exceed the Term of the awarded IFB STPD 12 001 A Contract; and, 5. In the event that a Customer elects to terminate Service(s) subject to Duration IPR Pricing for reasons other than (1) a Contractor default, or (2) circumstances outside such Customer's reasonable control, such Customer shall be liable to Contractor for an early termination charge. This charge shall be calculated based on the following: a) monthly difference in the original contract rate and the Duration IPR rate multiplied by the number of months the service was used under the Duration IPR; b) 10% of the original Contract Rate multiplied by the number of months used under the Duration IPR; and c) any unrecovered nonrecurring charges owed to Contractor on the date of termination. Rev. January 15, 2015 Amendment #2 A.7.4 NON -EXEMPTION IPRs The following provisions apply to Non -Exemption IPRs: 1. In response to non CALNET 3 Contracted vendors' proposals presented to Customers, and in accordance with the CALNET 3 CMO exemption process, CALNET 3 Contractors shall be given the opportunity to provide individual price reductions that require term commitments; 2. A minimum of three (3) CALNET 3 Contractors, unless otherwise directed by CALNET 3 CMO, shall be given the opportunity to respond. Contractors may be selected at the discretion of the Customer or under the direction of the CALNET 3 CMO; 3. IPRs shall be for reduced service pricing and term commitment only. All other Contract terms and conditions, including Service Level Agreements, will remain unchanged; 4. The duration of a Non -Exemption IPR shall not exceed the term of the Contract; 5. The Contractor shall provide a completed Non -Exemption IPR response to the Customer or CALNET 3 CMO within fifteen (15) Business Days of the Customer's or CALNET 3 CMO's Non -Exemption IPR request to the Contractor. If the Contractor's response is to not provide a Non -Exemption IPR, the Contractor must submit a formal declaration stating the Contractor will not provide a Non -Exemption IPR; and, 6. In the event that a Customer elects to terminate service(s) subject to Non -Exemption IPR Pricing for reasons other than (l) a Contractor default, or (2) circumstances outside such Customer's reasonable control, such Customer shall be liable to Contractor for an early termination charge. This charge shall be calculated based on the following: a) monthly difference in the original contract rate and the Non -Exemption IPR rate multiplied by the number of months the service was used under the Non -Exemption IPR; b) plus, 10% of the original Contract Rate multiplied by the number of months used under the Non -Exemption IPR; and c) and any unrecovered nonrecurring charges owed to Contractor on the date of termination. Signature page follows. Rev. January 15, 2015 Amendment #2 The undersigned Agency, upon execution of this IPRN, certifies that it has received, reviewed and concurs to the proposed rate (s) applicable to the Service(s) described herein above. AT&T Cora (Contractor, Subcategory 1.6) Signed: Print Name: h: C� 4-et.-7— 1 c.,t Title: A .4 M�, r - Date Signed: % — Approved 0 Denied Office of Technology Services City of San Rafael (Agency) Signed:G�u�J Print Name: Nancy Mackle Title: City Manager Date Signed: July 21, 2015 (Check appropriate response.) Statewide Telecommunications and Network Division f Signed: A,'vzw4v� Print Name: '34 Kim ►o Bl/1it Title: Date Signed: 8�z� h Rev. January 15, 2015 Amendment #2 AID: Agency Addr1 14920370: CIN OF Zip (CITY OF SAN IRWIN & 2D SAN RAFAEL 14920370: CITY OF SAN RAFAEL CA IRWIN SAN RAFAEL 14920370: CITY OF G & 2D SAN RAFAEL 94901 14920370: CITY OF E FRANCISCO BL SAN RAFAEL SAN RAFAEL 14920370: CITY OF 94915 E & STH AV SAN RAFAEL 94901 14920370: CITY OF SAN RAFAEL CA D & 3D SAN RAFAEL 14920370: CITY OF 2 IRWIN SAN RAFAEL 94915 14920370: CITY OF 24 LINCOLN AV SAN RAFAEL SAN RAFAEL 14920370: CITY OF 94901 AHN 24# LINCOLN 23 LINCOLN AV SAN RAFAEL 14920370: CITY OF SAN RAFAEL CA 22 LINCOLN AV SAN RAFAEL 14920370: CITY OF AHN 23# LINCOLN BROOKDALE AV SAN RAFAEL 14920370: CITY OF SAN RAFAEL CA BELLAM BL SAN RAFAEL 14920370: CITY OF AHN 22# LINCOLN 3 LINDARO SAN RAFAEL 14920370: CITY OF SAN RAFAEL CA 21 LINCOLN AV SAN RAFAEL 14920370: CITY OF AHN 20 LINDARO SAN RAFAEL 94901 14920370: CITY OF AHN 2 IRWIN SAN RAFAEL SAN RAFAEL 14920370: CITY OF 94901 ANDERSON DR. 955 POINT SAN PEDRO RD SAN RAFAEL 14920370: CITY OF 955 POINT SAN PEDRO RD SAN RAFAEL SAN RAFAEL 14920370: CITY OF 94915 LINDARO 951 A SAN RAFAEL 14920370: CITY OF 929 DEL PRESIDIO BL SAN RAFAEL SAN RAFAEL 14920370: CITY OF 94915 AHN 20 CORNER 905 POINT SAN PEDRO RD SAN RAFAEL 14920370: CITY OF SAN RAFAEL CA 900 C SAN RAFAEL Addr2 City State Zip (CITY OF SAN SAN RAFAEL CA 94915 RAFAEL) SAN RAFAEL CA 94901 (CITY OF SAN RAFAEL) SAN RAFAEL CA 94915 SAN RAFAEL CA 94901 SAN RAFAEL CA 94900 (CITY OF SAN SAN RAFAEL CA 94915 RAFAEL) AHN 2# IRWIN SAN RAFAEL CA 94901 AHN 24# LINCOLN SAN RAFAEL CA 94901 AV AHN 23# LINCOLN SAN RAFAEL CA 94901 AV AHN 22# LINCOLN SAN RAFAEL CA 94901 AV SAN RAFAEL CA 94901 AHN 1 CORNER OF SAN RAFAEL CA 94901 ANDERSON DR. AHN CORNER 2D & SAN RAFAEL CA 94915 LINDARO AHN 21 CORNER 3D & LINCOLN SAN RAFAEL CA 94915 AHN 20 CORNER SAN RAFAEL CA 94915 3D & LINCOLN AHN 2 IRWIN & 2D SAN RAFAEL CA 94915 SAN RAFAEL CA 94915 SAN RAFAEL CA 94901 SAN RAFAEL CA 94915 SAN RAFAEL CA 94903 SAN RAFAEL CA 94901 SAN RAFAEL CA 94901 AID: Agency Addrl Addr2 City State Zip 14920370: CITY OF SAN RAFAEL 86 WOODLAND AV SAN RAFAEL CA 94901 14920370: CITY OF SAN RAFAEL 822 W FRANCISCO BL SAN RAFAEL CA 94901 14920370: CITY OF SAN RAFAEL 800 BELLE AV SAN RAFAEL CA 94901 14920370: CITY OF SAN RAFAEL 777 MILLER CREEK RD SAN RAFAEL CA 94901 14920370: CITY OF (SAN RAFAEL CITY SAN RAFAEL 777 MILLER CREEK RD FIR) SAN RAFAEL CA 94915 14920370: CITY OF SAN RAFAEL 767 LINCOLN AV SAN RAFAEL CA 94901 14920370: CITY OF 76 ALBERT PARK LN SAN RAFAEL CA 94901 SAN RAFAEL 14920370: CITY OF 75 HAPPY LN SAN RAFAEL CA 94901 SAN RAFAEL 14920370: CITY OF 670 DEL GANADO RD SAN RAFAEL CA 94901 SAN RAFAEL 14920370: CITY OF SAN RAFAEL 650 DEL GANADO RD SAN RAFAEL CA 94915 14920370: CITY OF SAN RAFAEL 618# B SAN RAFAEL CA 94901 14920370: CITY OF SAN RAFAEL 618 B SAN RAFAEL CA 94901 14920370: CITY OF SAN RAFAEL 5800 NORTHGATE MALL SAN RAFAEL CA 94903 14920370: CITY OF SAN RAFAEL 575 SAN PEDRO COVE SAN RAFAEL CA 94901 14920370: CITY OF SAN RAFAEL 550 SAN PEDRO COVE SAN RAFAEL CA 94901 14920370: CITY OF SAN RAFAEL 519 4TH SAN RAFAEL CA 94901 14920370: CITY OF SAN RAFAEL 51 ALBERT PARK LN SAN RAFAEL CA 94901 14920370: CITY OF 50 NOVA ALBION WY SAN RAFAEL CA 94901 SAN RAFAEL 14920370: CITY OF SAN RAFAEL 50 CANAL SAN RAFAEL CA 94901 14920370: CITY OF SAN RAFAEL 50 SEA WY SAN RAFAEL CA 94901 14920370: CITY OF SAN RAFAEL 48 N SAN PEDRO RD SAN RAFAEL CA 94903 14920370: CITY OF SAN RAFAEL 48 MARINA BL SAN RAFAEL CA 94901 14920370: CITY OF SAN RAFAEL 46 CASTRO AV SAN RAFAEL CA 94915 AID: Agency Addrl 14920370: CITY OF State Zip 40 SIMMS SAN RAFAEL 14920370: CITY OF 94901 3D & A SAN RAFAEL CA 14920370: CITY OF SAN 375 BLACKSTONE DR SAN RAFAEL 94901 14920370: CITY OF SAN RAFAEL 3530 CIVIC CENTER DR SAN RAFAEL (MARIN CO COMM 14920370: CITY OF 3501 CIVIC CENTER DR SAN RAFAEL SAN 14920370: CITY OF CA 94915 320 NOVA ALBION WY SAN RAFAEL RAFAEL 14920370: CITY OF 94903 301 RIVIERA DR SAN RAFAEL CA 14920370: CITY OF SAN 30 JOSEPH CT SAN RAFAEL 94903 14920370: CITY OF SAN RAFAEL 2D & IRWIN SAN RAFAEL 14920370: CITY OF RAFAEL CA 2630 NORTHGATE DR SAN RAFAEL SAN 14920370: CITY OF CA 94901 25 W CASTLEWOOD DR SAN RAFAEL RAFAEL 14920370: CITY OF 94901 220 SHAVER SAN RAFAEL CA 14920370: CITY OF SAN 217 3D SAN RAFAEL 94915 14920370: CITY OF SAN RAFAEL 210 3D SAN RAFAEL 14920370: CITY OF RAFAEL CA 201 W FRANCISCO BL SAN RAFAEL SAN 14920370: CITY OF CA 94903 201 CANTERA WY SAN RAFAEL RAFAEL 14920370: CITY OF 94901 20 SEQUOIA RD SAN RAFAEL CA 14920370: CITY OF SAN 19 GLOUCESTER COVE SAN RAFAEL 94901 14920370: CITY OF SAN RAFAEL 1841 LINCOLN AV SAN RAFAEL 14920370: CITY OF RAFAEL CA 177 N SAN PEDRO RD SAN RAFAEL 14920370: CITY OF 1601 E FRANCISCO BL SAN RAFAEL RAFAEL 14920370: CITY OF 94915 1500 LINCOLN AV SAN RAFAEL 14920370: CITY OF 1408 MISSION AV SAN RAFAEL Addr2 City State Zip SR CA 94901 SAN RAFAEL CA 94901 SAN RAFAEL CA 94901 SAN RAFAEL CA 94915 (MARIN CO COMM DISPA) SAN RAFAEL CA 94915 SAN RAFAEL CA 94903 SAN RAFAEL CA 94901 SAN RAFAEL CA 94903 SAN RAFAEL CA 94900 SAN RAFAEL CA 94901 SAN RAFAEL CA 94901 RM ISE SAN RAFAEL CA 94901 SAN RAFAEL CA 94901 SAN RAFAEL CA 94915 SAN RAFAEL CA 94901 SAN RAFAEL CA 94901 SAN RAFAEL CA 94903 SAN RAFAEL CA 94901 SAN RAFAEL CA 94901 SAN RAFAEL CA 94901 SAN RAFAEL CA 94901 SAN RAFAEL CA 94901 (SAN RAFAEL FALKIRK) SAN RAFAEL CA 94915 AID: Agency Addrl Addr2 City State Zip 14920370: CITY OF (CITY OF SAN 1400 STH AV SAN RAFAEL CA 94915 SAN RAFAEL RAFAEL) 14920370: CITY OF 140 PEACOCK DR SR CA 94901 SAN RAFAEL 14920370: CITY OF 1313 5TH AV SAN RAMON CA 94583 SAN RAFAEL 14920370: CITY OF 1299 4TH SAN RAFAEL CA 94901 SAN RAFAEL 14920370: CITY OF 1210 STH AV SAN RAFAEL CA 94901 SAN RAFAEL 14920370: CITY OF 1175 IDYLBERRY RD SAN RAFAEL CA 94901 SAN RAFAEL 14920370: CITY OF (CITY OF SAN 111 MORPHEW SAN RAFAEL CA 94915 SAN RAFAEL RAFAEL) 14920370: CITY OF 1100 E ST SAN RAFAEL CA 94901 SAN RAFAEL 14920370: CITY OF SAN RAFAEL 1100 E SAN RAFAEL CA 94901 14920370: CITY OF 1099 D SAN RAFAEL CA 94901 SAN RAFAEL 14920370: CITY OF (CITY OF SAN SAN RAFAEL 1039 C RAFEL) SAN RAFAEL CA 94915 14920370: CITY OF SAN RAFAEL 1033 C SAN RAFAEL CA 94901 14920370: CITY OF 1 H (AT&T) SAN RAFAEL CA 94915 SAN RAFAEL 14920370: CITY OF ROBERT DOLLAR SCENIC SAN RAFAEL DR SAN RAFAEL CA 94901 14920370: CITY OF BAYHILLS DR (AHN 1) SAN RAFAEL CA 94901 SAN RAFAEL PROFESSIONAL SERVICES AGREEMENT/CONTRACT COMPLETION CHECKLIST AND ROUTING SLIP Below is the process for getting your professional services agreements/contracts finalized and executed. Please attach this "Completion Checklist and Routing Slip" to the front of your contract as you circulate it for review and signatures. Please use this form for all professional services aLyreements/contracts (not just those requiring City Council approval). This process should occur in the order presented below. Step Responsible DescriptionI Completion Department Date 1 City Attorney Review, revise, and connnent on draft agreement. 2 Contracting Department Forward final agreement to contractor for their signature. Obtain at least two signed v a l L originals from contractor. 3 Contracting Department Agendize contractor -signed agreement for ),1 (0 V" l nye Jn Council approval, if Council approval Val necessary (as defined by City Attorney/City Ordinance*). ,; 1 ' 4 City Attorney Review and approve form of agreement; bonds, and insurance certificates and endorsements. 7113115 5 City Manager / Mayor / or Agreement executed by Council authorized Department Head official. 6 City Clerk City Clerk attests signatures, retains original o agreement and forwards copies to the contracting department. To be completed by Contracting Department: Project Manager: Gus Bush Project Name: AT&T Calnet 3 Contract Agendized for City Council Meeting of (if necessary): _approved by Council on 7/6/15 If you have questions on this process, please contact the City Attorney's Office at 485-3080. * Council approval is required if contract is over $20,000 on a cumulative basis.