Common use of PAYEE DATA RECORD FORM STD Clause in Contracts

PAYEE DATA RECORD FORM STD. 204: This form must be completed by all contractors that are not another state agency or other governmental entity. -End Exhibit D- EXHIBIT E – INSURANCE REQUIREMENTS California Fair Services Authority 5/2018

PAYEE DATA RECORD FORM STD. 204: This form must be completed by all contractors that are not another state agency or other governmental entity. -End Exhibit D- EXHIBIT E – INSURANCE REQUIREMENTS California Fair Services Authority 5/2018#19-02

PAYEE DATA RECORD FORM STD. 204: This form must be completed by all contractors that are not another state agency or other governmental entity. -End Exhibit D- EXHIBIT E – INSURANCE REQUIREMENTS California Fair Services Authority 5/2018#21-11

PAYEE DATA RECORD FORM STD. 204: This form must be completed by all contractors that are not another state agency or other governmental entity. -End Exhibit D- EXHIBIT E – INSURANCE REQUIREMENTS California Fair Services Authority 5/2018#00-0000-00

PAYEE DATA RECORD FORM STD. 204: This 20:4This form must be completed by all contractors that contrarsctothat are not another state agency or other governmental entity. -End Exhibit D- EXHIBIT E – INSURANCE REQUIREMENTS California Fair Services Authority 5/2018

PAYEE DATA RECORD FORM STD. 204: This form must be completed by all contractors that are not another state agency or other governmental entity. -End Exhibit D- SA-13863-187YR COUNTY OF ORANGE PAGE 141 of 153 - EXHIBIT E – - INSURANCE REQUIREMENTS California Fair Services Authority 5/2018Authority

PAYEE DATA RECORD FORM STD. 204: This form must be completed by all contractors that are not another state agency or other governmental entity. -End Exhibit D- EXHIBIT E – INSURANCE REQUIREMENTS Page 1 of 3 California Fair Services Authority #19-02 5/2018

PAYEE DATA RECORD FORM STD. 204: This form must be completed by all contractors that are not another state agency or other governmental entity. -End Exhibit D- EXHIBIT SA-170-1BYR �- � COSTA MESA POLICE DEPARTMENT PAGE 12 of 14 .EXHIBIT E – - INSURANCE REQUIREMENTS California Fair Services Authority 5/2018

PAYEE DATA RECORD FORM STD. 204: This form must be completed by all contractors that are not another state agency or other governmental entityentity . -End Exhibit D- EXHIBIT E – INSURANCE REQUIREMENTS California Fair Services Authority 5/2018#00-0000-00

PAYEE DATA RECORD FORM STD. 204: This form must be completed becompleted by all contractors that are not another state agency or other governmental entity. -End Exhibit D- SA-13762-187FT COUNTY OF ORANGE PAGE 131 of 153 EXHIBIT E – - INSURANCE REQUIREMENTS California Fair Services Authority 5/2018Authority

PAYEE DATA RECORD FORM STD. 204: This form must be completed by all contractors that are not another state agency or other governmental entity. -End Exhibit D- EXHIBIT E F – INSURANCE REQUIREMENTS California Fair Services Authority 5/2018Authority

PAYEE DATA RECORD FORM STD. 204: This form must be completed by all contractors that are not another state agency or other governmental entity. -End Exhibit D- EXHIBIT E – INSURANCE REQUIREMENTS California Fair Services Authority 5/2018Authority

PAYEE DATA RECORD FORM STD. 204: This form must be completed by all contractors that are not another state agency or other governmental entity. -End Exhibit D- EXHIBIT SA-169-1SFT COSTA MESA POLICE DEPARTMENT PAGE 12 of 14 sXHIBIT E – - INSURANCE REQUIREMENTS California Fair Services Authority 5/2018