Consulting Services Agreement California

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Consulting Services Agreement California Powered By Docstoc
					STD 810C
CONSULTING SERVICES REPORT                                                                                                              Fiscal Year 2009 - 2010                                       STATE OF CALIFORNIA-DEPARTMENT OF GENERAL SERVICES
(Rev. May 2010)                                                                                                                                                                                                                    PROCUREMENT DIVISION
Agency                                                                                                         Department                                                                                                     Return to:
Address                                                                                                        City                                                                        Zip                                Consulting Services Report

                                           Preparer's Information                                                                                  Approver's Information                                                     Department of General Services

Name                                                            Title:                                         Name                                                      Title                                                Procurement Division - OSDS

Signature                                                                                                      Signature                                                                                                      Attn: Reports Coordinator

Telephone                                                       Date                                           Telephone                                                Date                                                  707 3rd Street, RM 1-400, IMS Z-1, MS 210

Email                                                                                                          Email                                                                                                          West Sacramento, CA 95605


                                                 REPORT CODES & AMOUNTS                                                                             CONTRACTOR                            CONTRACT ACTION DATES
                                                                                                                                                    ID Number (Last      # of                                                      CONTRACT PURPOSE &
                                     BID LOW                              BID LOW                               BID    LOW
                                                                                                                              CONTRACTORS NAME       4 digits of FEIN   BIDS
                                                                                                                                                                                             WORK        WORK       WORK               BENEFICIARY
          E        Entered $        TYPE BID     A       Amended $       TYPE BID     C       Completed $      TYPE     BID                              or SS #)                SIGNED
                                                                                                                                                                                            STARTED     AMENDED   COMPLETED
                                    Code Y / N                           Code Y / N                            Code    Y/N

Line #    0    $             -                   0   $           -                    0   $            -                                                                 0




Insert row(s) above this section.
                                                                                          $         1,548.00

Line #        Explanation:




Insert row(s) above this section




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Agency                                                                             Department                                                                     Return to:
Address                                                                            City                                         Zip                               Consulting Services Report




                                              REPORT CODES & AMOUNTS SUMMARY                                   BID Type Code
                Total        Total                          LOW BID         BID TYPE CODE           TOTAL        1   RFP – Request for Proposal
               Amount       Number                            Y    N           3          4   5   CMAS & MSA     2   IFB – Invitation for Bid
   Entered $            -            0                        0    0           0          0   0      0           3   NCB – Non-Competitive Bid
  Amended $             -            0                        0    0           0          0   0      0           4   CMAS – California Multiple Award Schedules
 Completed $            -            0                        0    0           0          0   0      0           5   MSA – Master Service Agreement
                                                                                                                 6   Emergency
                                                                                                                 7   Other




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                        STD 810C
                        CONSULTING SERVICES REPORT                                                                                                             Fiscal Year                                                     STATE OF CALIFORNIA-DEPARTMENT OF GENERAL SERVICES
                        (Rev. March 2010)                                                                                                                                                                                                                         PROCUREMENT DIVISION
Place the Agency                                                                                                                                               Type the Current
                        Agency                                                                                                        Department                                                                                                                                                    Enter the
information on the                                                                                                                                                                                                                                                                                  information of the
following Lines.        Address                                                                                                       City                                                                          Zip                                                                             person approving
                                                                                                                                                                                                                                                       Return Consulting Services Report To:

                                                                   Preparer's Information                                                                                    Approver's Information                                                    Department of General Services

                        Name                                                           Title:                                         Name                                                        Title                                                Procurement Division - OSDS
Enter the information   Signature                                                                                                     Signature                                                                                                        Attn: Reports Coordinator
of the person
preparing the report.   Telephone                                                       Date                                          Telephone                                                  Date                                                  707 3rd Street, RM 1-400, IMS Z-1, MS 210

                        Email                                                                                                         Email                                                                                                            West Sacramento, CA 95605


                                                                         REPORT CODES & AMOUNTS                                                                              CONTRACTOR                            CONTRACT ACTION DATES
                                                                                                                                                                             ID Number (Last      # of                                                      CONTRACT PURPOSE &
                                                             BID LOW                             BID LOW                               BID    LOW
                                                                                                                                                     CONTRACTORS NAME         4 digits of FEIN   BIDS
                                                                                                                                                                                                                      WORK        WORK       WORK               BENEFICIARY
                                  E        Entered $        TYPE BID     A   Ammended $         TYPE BID     C       Completed $      TYPE     BID                                or SS #)                SIGNED
                                                                                                                                                                                                                     STARTED     AMENDED   COMPLETED
                                                            Code Y / N                          Code Y / N                            Code    Y/N

                        Line #    0    $             -                   0   $          -                    0   $            -                                                                   0

 Type an X to mark                                                                                                                                                                                                                                                                                  Enter the dates for
 your entries                                                                                                                                                                                                                                                                                       when the contract
                                                                                                                                                                                                                                                                                                    work was signed,
                                                                                                                                                                                                                                                                                                    started, amended or
                                                                                                                                                                                                                                                                                                    completed, for only
 Type dollar amounts                                                                                                                                                                                                                                                                                the current fiscal
 accorndingly                                                                                                                                                                                                                                                                                       year.


 Type Bid Type
 Code. If code 3 is
                                                                                                                                                                                                                                                                                                   Briefly describe the
 enter, please
                                                                                                                                                                                                                                                                                                   work the consultant
 provide details in
                                                                                                                                                                                                                                                                                                   will do and potential
 the Explantion
                                                                                                                                                                                                                                                                                                   beneficiaries of the
                                                                                                                                                                                                                                                                                                   contract.
 Low Bid:
 Y = Yes, N = No. If
 N, please provide
 details.               Insert row(s) above this section.
                                                                                                                 $         1,548.00

                        Line #        Explanation:




                        Insert row(s) above this section




D:\Docstoc\Working\pdf\0ea023b0-fac7-4752-992d-5fd280551f14.xls                                                                                                                                                                                                                                    1/12/2011 Page 3 of 4
Place the Agency                                                                                                                Type the Current
                     Agency                                                                            Department                                                                                      Enter the
information on the                                                                                                                                                                                     information of the
following Lines.     Address                                                                           City                                                         Zip                                person approving


                                                                  REPORT CODES & AMOUNTS SUMMARY                                                   BID Type Code

                                      Total         Total                   LOW BID            BID TYPE CODE            TOTAL                        1   RFP – Request for Proposal

                                     Amount        Number                     Y   N                3          4   5   CMAS & MSA                     2   IFB – Invitation for Bid
                           Enter $            -             0                 0   0                0          0   0      0                           3   NCB – Non-Competitive Bid
                      Ammended $              -             0                 0   0                0          0   0      0                           4   CMAS – California Multiple Award Schedules
                       Completed $            -             0                 0   0                0          0   0      0                           5   MSA – Master Service Agreement
                                                                                                                                                     6   Emergency
                                                                                                                                                     7   Other




D:\Docstoc\Working\pdf\0ea023b0-fac7-4752-992d-5fd280551f14.xls                                                                                                                                       1/12/2011 Page 4 of 4

				
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