STANDARD AGREEMENT Exhibit A1Registration Number Agreement • August 24th, 2016
Contract Type FiledAugust 24th, 2016REGISTRATION NUMBER AGREEMENT NUMBER 17-10001 1. This Agreement is entered into between the State Agency and the Contractor named below: STATE AGENCY'S NAME (Also referred to as CDPH or the State) California Department of Public Health CONTRACTOR'S NAME (Also referred to as Contractor) TBD 2. The term of this August 01, 2017 through July 31, 2020 Agreement is: or upon approval by DGS or CDPH, if required, whichever is later 3. The maximum amount $ 0 of this Agreement is: Zero Dollars 4. The parties agree to comply with the terms and conditions of the following exhibits, which are by this reference made a part of this Agreement. Exhibit A2 – Scope of Work 9 pages Exhibit B – Budget Detail and Payment Provisions 5 pages Exhibit C* – General Terms and Conditions GTC 610 Exhibit D (F) – Special Terms and Conditions (Attached hereto as part of this agreement) 25 pages Exhibit E – Additional Provisions 6 pages Exhibi