HomeMy WebLinkAboutDS 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.