CONTRACT 3788 Vender AgreementSTATE e7F CALIFORNIA
STANDARD AGREEMENT
STD 213 (Rev 06/03)
3788,.
AGREEMENTNUMBER
C0700163
EGISTRATION NUMBER q r qaL
1. This Agreement is entered into between the State Agency and the Contractor named below:
STATE AGENCY'S NAME
Franchise Tax Board
CONTRACTOR'S NAME
City of Ell Segundo
2. The term of this
Agreement is: April 1, 2008 through June 30, 2008
3. The maximum amount $ 500.00
of this Agreement is: FIVE HUNDRED AND NO /100 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 the Agreement.
Exhibit A — Scope of Work
1 page
Exhibit B — Budget Detail and Payment Provisions
1 page
Exhibit C* — General Terms and Conditions
GTC307
Exhibit D - Special Terms and Conditions
1 page
Exhibit E — Record Format Specifications
2 pages
Items shown with an Asterisk ( *), are hereby incorporated by reference and made part of this agreement as if attached hereto.
These documents can be viewed at www.dgs.ca.gov /contracts
IN WITNESS WHEREOF, this Agreement has been executed by the parties hereto.
CONTRACTOR
CONTRACTOR'S NYE (if other than an individual, state whether a corporation, partnership, etc.)
City of Ell pegundo
BYBY (Authoriz Si ture) DATE SIGNED(Do not type)
a- ao -pss
PRINTS ME AND TITLE OF PERSON SIGNING
Jeff Stewart, City Manager
California Department of General
Services Use Only
350 Main Street
El Segundo, CA 90245
STATE OF CALIFORNIA
AGENCY NAME
Fr e d
(Authori d ign ture) DATE IGNED( o not type)
P D NA ND E OF PERSON SIGNING
® Exempt per: SCM 4.04.5.b.
Titus S. Toyal�a; hief Financial Officer
ADDRESS
P.O. Box 2086, Rancho Cordova, CA 95741 -2086
City of El Segundo
EXHIBIT A
SCOPE OF WORK
37 8 8 - 71
Agreement #C0700163
This Agreement is entered into by and between the Franchise Tax Board, herein referred to as
(FTB) and the City of El Segundo, herein after referred to as the City.
1. The City agrees to provide FTB with tax information, per Exhibit E, Record Format
Specifications, which shall include but not limited to the following:
a. Business and /or owners name
b. Business address
c. Federal employer identification number (FEIN) or social security number (SSN)
d. Type of business
2. The records may be submitted on standard CD -Rom or through a secured electronic
connection, in ASCII format, tab or comma delimited, per Exhibit E. Upon request by the
City, the FTB will set up a secured electronic connection for the transmission of data.
3. The records will be sent to FTB's Data Exchange Production and Services Unit on CD -Rom
or secured electronic connection no later than May 1, 2008, along with the required
transmittal form found at http: / /www.ftb.ca.gov /forms /misc /8302.pdf.
4. The information obtained under this agreement will be used solely for the purpose of
administration of tax and other non -tax programs that FTB administers as set forth and
provided by the California Revenue and Taxation Code Section 19504.
5. With an executed Local Government Sharing Agreement for tax year 2007, the FTB will
match on the SSN or FEIN from the City Business Tax data submitted. Refer to City's Local
Government Sharing Agreement.
6. The project coordinators during the term of this Agreement will be:
Franchise Tax Board
Erica Gonzales
Data Resources and Services
P.O. Box 1468, MS A -181
Sacramento, CA 95812 -1468
Phone: (916) 845 -6556
Fax: (916) 855 -5695
Return signed Agreement to:
Franchise Tax Board
Business Acquisitions Unit
Attention: Susann Field
P.O. Box 2086, MS A -374
Rancho Cordova, CA 95741 -2086
Phone: (916) 845 -3897
Fax: (916) 845 -3599
City of Ell Segundo
Steve Jones
Business Services Manager
350 Main Street
El Segundo, CA 90245
Phone: (310) 524 -2332
3788 . -711
City of El Segundo Agreement #C0700163 "
EXHIBIT B
BUDGET DETAIL AND PAYMENT PROVISION
1. PAYMENT: The FTB agrees to pay the City, not to exceed, $500.00 for City Business Tax
data. Upon receipt of the Agreement executed by the City and receipt of a usable file in the
required format, and an accompanying invoice, the FTB agrees to remit payment for the
cost incurred in providing the data, based on the terms of this Agreement.
2. INVOICING: The City shall render an invoice in triplicate to:
Franchise Tax Board
Fiscal Accounting
P O Box 2800
Sacramento, CA 95812 -2800
3. BUDGET CONTINGENCY CLAUSE: 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 State shall have no liability to pay any funds whatsoever to the City
or to furnish any other considerations under this Agreement and the City shall not be
obligated to perform any provisions of this Agreement.
If funding for any fiscal year is reduced or deleted by the Budget Act for purposes of this
program, the State shall have the option to either: cancel this Agreement with no liability
occurring to the State, or offer an Agreement Amendment to City to reflect the reduced
amount.
4. PROMPT PAYMENT CLAUSE: Payment will be made in accordance with and within the
time specified in Government Code, Chapter 4.5 (commencing with Section 927).
City of El Segundo Agreement #10AOL
EXHIBIT D
SPECIAL TERMS AND CONDITIONS
USE OF INFORMATION: The FTB and the City agree that the information furnished or
secured pursuant to this Agreement shall be used solely for the purposes described by this
Agreement. The information obtained shall be used for tax administrative and non -tax
programs that FTB administers and may be shared with other state taxing agencies as
authorized by law, including the Department of Child Support Services. The FTB and the
City further agree that information obtained under this Agreement will not be reproduced,
published, sold or released in original or in any other form for any purpose other than
identified in this Agreement or as authorized by law.
2. EMPLOYEE ACCESS TO INFORMATION: The FTB and the City agree that the
information obtained will be kept in the strictest confidence and shall make information
available to its own employees only on a "need to know" basis. The "need to know"
standard is met by authorized employees who need information to perform their official
duties in connection with the uses of the information authorized by this Agreement. The
FTB and the City recognize their responsibilities to protect the confidentiality of this
information as provided by law and ensures such information is disclosed only to those
individuals and of such purpose, as authorized by the Revenue and Taxation Code.
3. DESTRUCTION OF RECORDS: All records received by either party and any database(s)
created, copies made, or files attributed to the records received will be destroyed when
they are no longer needed for the business purpose for which they were obtained. The
records shall be destroyed in a manner to be deemed unusable or readable and to the
extent that an individual record can no longer be reasonably ascertained.
4. CANCELLATION: Either party may terminate this Agreement, in writing for any reason,
upon thirty days (30) prior written notice. This Agreement may be terminated by either
party in the event of any breach of the terms of this Agreement.
5. POTENTIAL SUBCONTRACTORS: Nothing contained in this Agreement or otherwise
shall create any contractual relation between the State and any subcontractors, and no
subcontract shall relieve the City of its responsibilities and obligations hereunder. The City
agrees to be as fully responsible to the State for the acts and omissions of the City's
subcontractors and of persons either directly or indirectly employed by any of them as it is
for the acts and omissions of persons directly employed by the City. The City's obligation
to pay its subcontractors is an independent obligation from the State's obligation to make
payments to the City. As a result, the State shall have no obligation to pay or to see the
payment of any monies to any subcontractor.
City of El Segundo
EXHIBIT E
Agreeme3nX00700'163 • '"
RECORD FORMAT SPECIFICATIONS
CITY BUSINESS TAX RECORD FORMAT SPECIFICATIONS
Data Element Name
Start
End
Field
Usage
Description
Pos.
Pos.
Size
SOCIAL SECURITY
1
9
9
AN
Must be present unless FEIN is
NUMBER (SSN)
provided. Fill unused field with
blanks.
FEDERAL EMPLOYER
10
18
9
AN
Must be present unless SSN is
ID NUMBER (FEIN)
provided. Fill unused field with
blanks.
OWNERSHIP TYPE
19
19
1
AN
Must be present: S = Sole
Proprietorship, P = Partnership,
C = Corporation, T = Trust, L =
LLC.
OWNERS LAST NAME
20
34
15
AN
Must be present if Ownership
Type in position 19 = S.
OWNERS FIRST NAME
35
45
11
AN
Must be present if Ownership
Type in position 19 = S.
OWNERS MIDDLE INITIAL
46
46
1
AN
May be blank.
BUSINESS NAME
47
86
40
AN
Enter if business is operating
under a fictitious name (DBA).
BUSINESS ADDRESS
Address of the business location
or the residence of the owner if
sole proprietorship.
Number & Street
87
126
40
AN
Must be present.
City
127
166
40
A
Must be present.
State
167
168
2
A
Enter standard state
abbreviation.
ZIP Code
169
177
9
N
Enter the valid ZIP Code (nine or
five - digit) assigned by the U.S.
Postal Service. If only the first
five - digits are known, left- justify
information and fill the unused
positions with blanks.
BUSINESS START DATE
178
185
8
N
Enter the year, month and day
(CCYYMMDD) if start date is in
the current reporting period.
Otherwise, zero fill.
City of El Segundo
BUSINESS CEASE DATE
REPORT PERIOD
END DATE
3788 .
Agreement #C0700163
186 193 8 N Enter the year, month and day
(CCYYMMDD) if out of business
or ownership change in current
period. Zero fill if not known, no
ownership change or not out of
business during current period.
194 201 8
CITY BUSINESS TAX 202 204 3
NUMBER
NORTH AMERICAN 205
INDUSTRY CLASSIFICATION
SYSTEM (NAICS)
N Enter the year, month and day,
(CCYYMMDD). Data submitted
will be for preceding 12 -month
period.
N Enter 3 digit number assigned
by FTB.
210 6 AN Enter the digit NAICS code.
LICENSE STATUS 211 211 1
A Enter an "I" for Inactive if
the license is not in use,
otherwise default to an "A"
or Active.
Key: A = Alpha, N = Numeric, AN = Alphanumeric.
Note: All alpha characters must be submitted in uppercase only.