Full text
EXHIBIT 13
Case 1:20-cv-00658-LMB-IDD Document 132-13 Filed 05/07/21 Page 1 of 16
PageID# 2608
EXHIBIT
Plaintiff's 8
exhibitsticker.com
From:
Chang, Fee(aDGS
To:
Cuellar, Monica; Wiechec, Jutta; Chivaro Rick; Watson, Allan; Sturmfels, AndrewPDGS; Greene Ross, Karen;
Shell, AnaelaCaDGS; Spano, Jim; Hollingsworth, Jason; "Finn, Karen"; Kim, Daniel@DGS; Simonson BilIPDGS;
Lee, Lilian@DGS
Cc:
Gonzalez Elizabeth; Wong, Michael(aDGS; Lee, LilianPDGS
Subject:
RE: email chain restored w/all who need to know
Date:
Wednesday, March 25, 2020 5:01:27 PM
Attachments:
Y001PRN090700das.ca.ciov 20200325 154910.odf
Y001PRN09070edas.ca.aov 20200325 154830.odf
Y001PRN09070(&dgs.ca.aov 20200325 154750.odf
Y001PRN09070(adgs.ca.aov 20200325 154709.odf
Y001PRN090704dgs.ca.aov 20200325 154600.odf
Y001PRN09070Adas.ca.aov 20200325 154506.odf
Hi,
DGS Claim Schedules face sheets and support documents have been sent to SCO. Please see
attached.
Thanks
Fee Chang
Chief Accounting Officer
Office of Fiscal Services
Department of General Services
707 Third Street, West Sacramento, CA 95603
http://ofs.dgs.ca.gov
Phone 916.376.5150
Fax -916.376.5155
Email fee.c4arK@tigs.ca.gov
DES
GENERAL SERVICES
Excellence in the Business of Government
From: Cuellar, Monica <mcuellar@sco.ca.gov>
Sent: Wednesday, March 25, 2020 4:41 PM
To: Wiechec, Jutta <JWiechec@sco.ca.gov>; Chang, Fee@DGS <Fee.Chang@dgs.ca.gov>; Chivaro,
Rick <rchivaro@sco.ca.gov>; Watson, Allan <AWatson@sco.ca.gov>; Sturmfels, Andrew@DGS
<Andrew.Sturmfels@dgs.ca.gov>; Greene Ross, Karen <KGreeneRoss@sco.ca.gov>; Shell,
Angela@DGS <Angela.Shell@dgs.ca.gov>; Spano, Jim <jspano@sco.ca.gov>; Hollingsworth, Jason
<JHollingsworth@sco.ca.gov>; 'Finn, Karen' <Karen.Finn@dof.ca.gov>; Kim, Daniel@DGS
<Daniel.Kim@dgs.ca.gov>; Simonson, Bill@DGS <Bill.Simonson@dgs.ca.gov>; Lee, Lilian@DGS
<Lilian.Lee@dgs.ca.gov>
Cc: Gonzalez, Elizabeth <EGonzalez@sco.ca.gov>; Wong, Michael@DGS
<Michael.Wong@dgs.ca.gov>
DGS0212
exhibitsticker.com
EXHIBIT
Plaintiff's 8
Case 1:20-cv-00658-LMB-IDD Document 132-13 Filed 05/07/21 Page 2 of 16
PageID# 2609
Plaintiff's
Trial Exhibit
707
Subject: RE: email chain restored w/all who need to know
We need to get these warrants printed ASAP to make the GLS cutover for tonight's overnight. Please
__ forward claim schedule face sheet ASAP
From: Wiechec, Jutta <JWiechecPsco.ca.gov>
Sent: Wednesday, March 25, 2020 4:38 PM
To: Chang, Fee <Fee.ChangPdgs.ca.gov>; Chivaro, Rick <rchivaroPsco.ca.gov>; Watson, Allan
<AWatsonl@sco.ca.gov>; Sturmfels, Andrew@DGS <Andrew.SturmfelsPdgs.ca.gov>; Greene Ross,
Karen <KGreeneRossPsco.ca.gov>; Shell, Angela@DGS <Angela.ShellPdgs.ca.gov>; Spano, Jim
<jspano@sco.ca.gov>; Hollingsworth, Jason <JHollingsworthPsco.ca.gov>; 'Finn, Karen'
<Karen.FinnPdof.ca.gov>; Kim, Daniel@DGS <Daniel.KimPdgs.ca.g. ov>; Simonson, Bill@DGS
<Bill.SimonsonPdgs.ca.gov>; Lee, Lilian@DGS <Lilian.LeePdgs.ca.gov>; Cuellar, Monica
<mcuellarPsco.ca.gov>
Cc: Gonzalez, Elizabeth <EGonzalezPsco.ca.gov>; Wong, Michael@DGS
<iv1ichael.Wong@dgs.ca.gov>
Subject: RE: email chain restored w/all who need to know
Lilian will contact Allan Watson and Monica Cuellar for special handling instructions.
From: Chang, Fee@DGS <Fee,ChangPdgs.ca.gov>
Sent: Wednesday, March 25, 2020 4:32 PM
To: Wiechec, Jutta clWiechecPsco.ca.gov>; Chivaro, Rick <rchivaroPsco.cazov>; Watson, Allan
<AWatson@sco.ca.gov›; Sturmfels, Andrew@DGS <Andrew.Sturmfels(@dgs.ca.gov>; Greene Ross,
Karen <KGreeneRossPsco.ca.gov>; Shell, Angela@DGS <Angela.ShellPdgs.ca.gov>; Spano, Jim
<jspanoPsco.ca.gov>; Hollingsworth, Jason <JHollingsworthPsco.ca.gov>; 'Finn, Karen'
<Karen.FinnPdof.ca.gov>; Kim, Daniel@DGS <Daniel.Kim@dgs.ca,gov>; Simonson, Bill@DGS
<Bill.Simonsonladgs.ca.gov>; Lee, Lilian@DGS <Lilian.Leer@dgs.ca.gov>
Cc: Gonzalez, Elizabeth <EGonzalezPsco.ca.gov>; Wong, Michael@DGS
<Michael.WongPdgs.ca.gov>
Subject: RE: email chain restored w/all who need to know
CAUTIONi •
This email originated from-.0t.itide,of.the p
.
Do not click links or open attachments
recogCiize
erpail'address and knoWthe'i
content is safe.
• "••••
'
.
•
Jutta,
We are running the face sheet now. W. Ilemail to you directly.
Fee/Lilian
From: Wiechec, Jutta <JWiechecPsco.ca.gov>
Sent: Wednesday, March 25, 2020 4:19 PM
DGS0213
Case 1:20-cv-00658-LMB-IDD Document 132-13 Filed 05/07/21 Page 3 of 16
PageID# 2610
-M;
PRINT WARRANT DATE
AUDIT COOS
ISSUE WARR. DATE (REQUEST.)
19000177
I hereby certify under penalty of perjury as follows:
"That.) am a duly appointed, qualified and acting officer of the herein named state agency, department, board, commission, office, or institution;
that the within claim is in all respects true, correct, and in accordance with law; that the services mentioned herein were actually rendered and sup-
plies delivered to the state agency in accordance with the contract and law; that authorizations for purchases have been duly obtained wherever re-
quired and that amounts claimed and articles delivered comply therewith; that the amounts of any refunds to claimants indicated herein were receiv-
ed from such claimants by the herein named agency in excess of that legally due it under the law, or are otherwise lawfully due such claimants; that
all of the expenditures herein set forth ore in accordance with the current budget allotments and provisions as approved by the Budget Division of
the State Department of Finance, and that none of the expenditures are in excess thereof; that there has been full compliance with all provisions or
restrictions in the budget act or any other appropriation relating to expenditures herein; that the claimants named herein are each entitled to the
amount specified opposite their respective names and actually have been paid or will be paid as allowed when warrant is received from the State
Controller; that I have not violated any of the provisions of Sections 1090 to 1096, inclusive, of the Government Code, in incurring the items of ex-
pense mentioned in the attached claim, or in any other way; that any disaster service worker for whom compensation or reimbursement for expenses
incurred is claimed herein has, if required by law, taken, subscribed, and filed the oath set forth in Section 3103 of the Government Code."
TOTAL OF
SCHEDULE
109,878,099.00
STATE OF CALIFORNIA
CLAIM SCHEDULE
STD. 218 (REV. 3.91) OFS (7/98)
LOCI NOT WELTS N TINS WADS
PAYABLE
FROM
APPROPRI-
ATION
FUND
I sue
0666 I 001
AGENCY NO.
7760
YR. OF STAT.
2019
PURPOSE
PUNS NAME
Service Revolving Fund
AGENCY MANE
Department of General Services
Sao
PAY
STATUTES
2019
CHAPTER
23
A- Program Support
FED. CATALOG
NUMBER
AMOUNT
109,878,099.00
CATEGORY I PGRL BLIT. COUP.
TAMI
GENERAL.
P
SC
RO
O
J.
LEDGER
Li
tti
PAS
CLAIMANT
BLUE FLAME MEDICAL LLC
EPIC RELIABLE SERVICES LLC
Ovnior) 03fleel aiva
SEI3BrillN INVINIVM S.133110E1INO3
AMOUNT
99,000,000.00
10,878,099.00
CALC.
PUNCH.
CONTR.
CORRECTIONS ENTERED
AUDITED
P/A SAL OK
REPCOTABLE PAYMENTS
PER GA-M. 8422 15
NVIDIER
AMOUNT
$
TOTAL PAMIJECT TO USE TAX
RIM
DGS0214
WARR. OK
APPR. PAY
SIGN®
CL1f
)
APPROVED SP BEWARED)
TITLE
ACCOUNTING OFFICER
CONTACT TELEPHONE (OPTION/U.)
DATE
03/25/20
LINE
NO.
1
P.O. NO. OR 'C'
Case 1:20-cv-00658-LMB-IDD Document 132-13 Filed 05/07/21 Page 4 of 16
PageID# 2611
QTY
RATE
AMOUNT
100,000,00
4.76
476,000,000.00
1 37,961,000.
37,961,000.00
00
1 95,200,000,
95,200,000.00
00
DATE
ACTIVITY
DESCRIPTION
03/25/2020
N95 Masks
N95 Mask Models:
DTC 313
DIX 3X
L-288
SEKU RA-321
Sales Tax
Sales Tax - Zip Code
Rate 7.975%
Shipping
Shipping Cost for 100,000,000 Masks
Blue Flame Medical LLC
499 South Capitol St., SW Suite 420
Washington, DC 20003 US
Biueflame
Medical
INVOICE
•
BILL TO
Michael Wong
Contracts Administrator
Procurement Division
Department Of General Services
State of California
916-441-9619
Michael.Wong@dgs.ca.gov
INVOICE
200325011
DATE
03/25/2020
TERMS
Due on receipt
DUE DATE
03/25/2020
BALANCE DUE
46°914617
("-frO, e d 0 4
Page 1 of
DGS0215
Case 1:20-cv-00658-LMB-IDD Document 132-13 Filed 05/07/21 Page 5 of 16
PageID# 2612
AUDIT COCE
PRINT WARRANT OATS
ISSUE WARR. OATH (REQUEST.)
(DO NOT WRITE IN TRIM IR•ACIO
STATE OF CALIFORNIA
CLAIM SCHEDULE
STD. 218 (REV. 3-91) On (7/98)
PAYABLE
FROM
PUNS
t NES
0666
001
PUN) NAME
Service Revolving Fund
AGENCY NO.
7760
AGENCY NAME
Department of General Services
APPROPRI-
ATION
YR. OP srAT.
• •
_
2019
ppm
'1Z=
RIO
FFY
CHAFFER
STATUSES
23
2019-
PURPOSE
A- Program Support
FED. CATALOG
NUMBER
SCO
PROD,
Pia
CATEGORY POM. EIJI. COMP. TARE
GINSISIAL
LESSGER
SaCESPI
ORJECT
AMOUNT
99,000,000.00
LINE
NO.
AMOUNT
1
P.O. NO. OR 'C"
CLAIMANT
BLUE FLAME MEDICAL LLC
99,000,000.00
tivruov) u311ssi snea
CONTROLLER'S WARRANT NUMBERS
NMN.
CALL.
PORCH.
CONTR.
TOTAL OF
SCHEDULE
CORRECTIONS ENTaRED
AUDITED
APPR. PAY
PiA SAL. OK
WARR. OR
REPORTABLE PAYMENTS
run S.A.M. 9422.19
NUMBER
AMOUNT
SIGNED
19000178
I hereby certify under penalty of perjury as follows:
"That I am a duly appointed, qualified and acting officer of the herein named state agency, department, board, commission, office, or institution;
that the within claim is in all respects true, correct, and in accordance with law; that the services mentioned herein were actually rendered and sup-
plies delivered to the state agency in accordance with the contract arid law; that authorizations for purchases have been duly obtained wherever re-
quired and that amounts, claimed and articles delivered comply therewith; that the amounts of any refunds to claimants indicated herein were receiv-
ed from such claimants by the herein named agency in excess of that legally due it under the law, or ore otherwise lawfully due such claimants; that
all of the expenditures herein set forth are in accordance with the current budget allotments and provisions as approved by the Budget Division of
the State Deparannerrt of finance, and that none of the expenditures are in excess thereof; that there has been full compliance with all provisions or
restrictions in the budget act or arty other appropriation relating to expenditures herein; that the claimants named herein are each entitled to the
amount specified opposite their respective names and actually have been paid or will be paid as allowed when warrant is received from the State
Controller: that I have not violated any of the provisions of Sections 11390 to 1096, inclusive, of the Government Code, in incurring the items of ex.
pense mentioned in the attached claim, or in any other way; that any disaster service worker for whom compensation or reimbursement for expenses
incurred is claimed herein has, if required by law, taken, subscribed, and filed the oath set forth in Section 3103 of the Government Code."
DATE
99,000,000.00
TITLE
ACCOUNTING OFFICER
03/25/20
APPROVED PP RECUNGG)
CONTACT YELEPNONE (OPTIONAL)
TOTAL ERJEJECT TD USE TAX
DGS0216
Case 1:20-cv-00658-LMB-IDD Document 132-13 Filed 05/07/21 Page 6 of 16
PageID# 2613
03/25/2020
N95 Masks
Sales Tax
Shipping
N95 Mask Models:
DTC 3B
DTX 3X
L-288-
SEKURA;321
Sales
CO-04
Rate 7.975%
Shipping Cost for 100,04000:Masks
$609,161,000.00
x. -7600
BALANCE DUE
Blue Flame Medical LLC
• 499 South Capitol St., SW Suite 420
Washington, DC 20003 US
Blueftame
Medical
INVOICE
BILL TO
Michael Wong
Contracts Administrator
Procurement Division
Department of General Services
State of California
916-441-9619
Michael.Wong@dgs.ca.gov
/: DAT E
ACTIVITY
DESCRIPTION
INVOICE
20032501
DATE
03/25/2020
TERMS
Due on receipt
DUE DATE
03/25/2020
QTY
RATE
AMOUNT
100,000,00
4.7.6
476,000,000.00
0
1 37,961,000.
37,961,000.00
00
1 "95,200,000.
95,200,000.00
00
4.17471,pool e00,°3
Page 1 of 1
DGS0217
Case 1:20-cv-00658-LMB-IDD Document 132-13 Filed 05/07/21 Page 7 of 16
PageID# 2614
AGENCY RAKE
Department of General Services
SIGNED
nytt
ACCOUNTING OFFICER
Service Revolving Fund
STATE OF CALIFORNIA
CLAIM SCHEDULE
STD. 218 (REV. 3-91) OFS (7198)
PAYABLE
FROM
STATUTES
APPROPRI-
ATION
LINE
1
PURPOSE
A- Program Support
2019
0
3:1
AZ
03
03
LO
LO
CONTR.
CIVOIOV)
0311SSI alVO
19000181
I hereby certify, under penalty of perjury as follows:
"That I am a duly appointed, qualified and acting officer of the herein named state agency department, board, commission, office, or institution;
that the within claim is in all respects true, correct, and in accordance with law; that the services mentioned herein were actually rendered and sup-
plies delivered to the state agency in accordance with the contract and law; that authorizations for purchases have been duly obtained wherever re-
quired and that amounts claimed and articles delivered comply therewith; that the amounts of any refunds to claimants indicated herein were receiv-
ed from such claimants by the herein named agency in excess of that legally due it under the law, or are otherwise lawfully due such claimants; that
all of the expenditures herein set forth are in accordance with the current budget allotments and provisions as approved by the Budget Division of
the State Departmnent of Finance, and that none of the expenditures are in excess thereat; that there has been full compliance with all provisions or
restrictions in the budget act or any other appropriation relating to expenditures herein; that the claimants named herein are each entitled to the
amount specified opposite their respective names and actually have been paid or will be paid as allowed when warrant is received from the State
Controller; that 1 have not violated any of the provisions of Sections 1090 to 1096, inclusive, of the Government Code, in incurring the items of ex-
pense mentioned in the attached claim, or in any other way; that any disaster service worker for whom compensation or reimbursement for expenses
incurred is claimed herein has, if required by law, taken, subscribed, and Red the oath set forth in Section 3103 of the Government Code."
CORRECTIONS ENTERED
DATE
03/25/20
APPR. PAY
REPORTABLE PAYMENTS
Pon S.A.M. E422.19
NUMBER
AMOUNT
APPROVED tir RECIAMLO)
DGS0218
(DO NOT WRITE SI DOS SPACE)
WASIL OK
FUND RAJAS
CONTACT TILEPHONE (OPTIONAL)
TOTAL SUBJECT TO USE TAX
AGEDICY NO.
7760
Case 1:20-cv-00658-LMB-IDD Document 132-13 Filed 05/07/21 Page 8 of 16
PageID# 2615
CTY
RATE
AMOUNT
100,000,00
4.76
476,000,000.00
0
1 37,961,000.
37,961,000.00
00
1 95,200,000.
95,200,000.00
00
DATE
ACTIVITY
DESCRIPTION
03/25/2020
N95 Masks
N95 Mask Models:
DTC 3B
DTX
L-288
SEKURA-321
Sales Tax- Zip Code
Rate 7.975%
Shipping Cost for 100,000,000 Masks
Sales Tax
Shipping
Blue Flame Medical LLC
490 South Capitol St., SW Suite 420
Washington, DC 20003 US
INVOICE
E!,111 TO
Michael Wong
,Contracts Administrator
Procurement Division
Department of General Services
State of California
916-441-9619_
Michael.Wong@dgs.ca.gov
INVOICE
20032501
DATE
03/25/2020
TERMS
Due on receipt
DUE DATE
03/25/2020
BALANCE DUE
4€4,9mo0
e Now
-
417 90, .00D;000!°
DGS0219
Case 1:20-cv-00658-LMB-IDD Document 132-13 Filed 05/07/21 Page 9 of 16
PageID# 2616
AUDIT CODE
PRINT WARRANT DATE
ISSUE WARR. DATE (REOLISST.)
CATEGORY PGM.
GIENER1U.
LEDGER
ELI. COMP.
TASK
(DO NOT WRITE IN TIM SPACE)
STATE OF CALIFORNIA
CLAIM SCHEDULE
STD. 218 (REV. 3.91) OFS (7/98)
PAYABLE
FROM
FUND
I sue
0666
1, 001
AGENCY NO.
7760
AGENCY NAME
Department of General Services
FUND NAME
Service Revolving Fund
STATIRES
2019
CHAPTER
23
a
PPE
YR. OP STAT.
2019
PURPOSE
A- Program Support
APPROPRI-
ATION
FED. CATALOG
NUIESER
SCO
PROA
P/S
UNT
99,000,000.00
(
RECEIPT
OR/4"C T
IJNE
NO.
1
99,000,000.00
AMOUNT
SIGN.
CALL.
PURCN.
CONTR.
P.O. NO. OR 'C'
CLAIMANT
(1V111010 0311861 3.1.VCI
CONTROLLER'S WARRANT NUMBERS
BLUE FLAME MEDICAL LLC
19000180
I hereby certify under penalty of perjury as follows:
"That I am a duly appointed, qualified and acting officer of the herein named state agency department, board, commission. office. or institution;
that the within claim is in all respects true, correct, and in occordance with law; that the services mentioned herein were actually rendered and sup-
plies delivered to the state agency in accordance with the control and law; that authorizations for purchases have been duty obtained wherever re-
quired and that amounts claimed and articles delivered comply therewith; that the amounts of ony refunds to claimants indicated herein were receiv-
ed frem such claimants by the herein named agency in excess of that legally due it under the law, or are otherwise lawfully due such claimants; that
all of the expenditures herein set forth are in accordance with the current budget allotments and provisions as approved by the Budget Division of
the State Deportinnent of Finance, and that none of the expenditures ore in excess thereof; that there has been full compliance with all provisions or
restrictions in the budget act or any other appropriation relating to expenditures herein; that the claimants named herein are each entitled to the
amount specified opposite their respective names and actually have been paid or will be paid as allowed when warrant is received from the State
Controller; that I have not violated any of the provisions of Sections 1090 to 1096, inclusive, of the Government Code, in incurring the items of ex-
pense mentioned in the attached claim, or in any other way; that any disaster service worker for whom compensation or reimbursement for expenses
incurred is claimed herein has, if required by low, taken, subscribed, and filed the oath set forth in Section 3103 of the Government Code."
TOTAL. OF
SCHEDULE
99,000,000.00
CORRECTIONS ENTERED
AUDMID
APPR- PAY
P/A SAL OK
WARR.OK
REPORTAPLII PAYMENTS
PQR s_s_se. 8422.10
SIGNED
TOLE
ACCOUNTING OFFICER
DATE
03/25/20
HUMBER
AMOUNT
nimonover3 en REQUIRED)
CONTACT TELEPHONE 10Pr0NAL1
TOTAL SUBJECT TO USE TAX
S
DGS0220
Case 1:20-cv-00658-LMB-IDD Document 132-13 Filed 05/07/21 Page 10 of 16
PageID# 2617
Blue Flame Medical LLC
499 South Capitol St., SW Suite 420
Washington, DC 20003 US
iLiefia me
INVOICE
BILL TO
Michael Wong
Contracts Administrator
Procurement Division
Department of General Services
State of California
916-441-9619
Michael.Wong@dgs.ca_gov
INVOICE
20032501
DATE
03/25/2020
TERMS
Due on receipt
DUE DATE
03/25/2020
::DATE -
ACTIVITY
DESCRIPTION
CITY
RATE
AMOUNT
03/25/2020
N95 Masks
N95 Mask Models:
100,000,00
4.76
476,000,000,00
0
DTC 38
DTA 3X
L-288
SEKURA-321
Sales Tax
Sales Tax Zip Code
1 37,961.000.
37,961,000.00
Rate 7.975%
00
Shipping
Shipping Cost for 100,000,000 Masks
1 95,200,000.
95,200,000.00
00
BALANCE DUE
460946#34007W
ow - $456 5 888=600
6°
Page 1 Of 1
DGS0221
Case 1:20-cv-00658-LMB-IDD Document 132-13 Filed 05/07/21 Page 11 of 16
PageID# 2618
GENISIAL
LEDGER
COMP.
TASK
CATEGORY PEEL ELE.
(ivniov) aanssl aive
CONTROLLER'S WARRANT NUMBERS
SIGNED
/-1
,
i
-r-A
APPROVED Sp isotsiesD)
AUDSTED
ArPR. PAY
P/A SAL OK
WARR. OK
RUMMER
AMOUPN
TOTAL SUBJECT TO USE TAX
tOO NOT WRITE iN TWA SPACE)
STATE OF CALIFORNIA
CLAIM SCHEDULE
STD. 218 (REV. 3-91) OFS (7/98)
PAYABLE
FROM
APPROPRI-
ATION
FUND
I SUE
0666 1 001
AGENCY NO.
7760
TR-OP STAT.
2019
PURPOSE
secs
PRY
CHAPTER
23
STATUTES
a
A- Program Support
PRO. CATALOG
NUMBER
SCO
F/S
P.O. NO. OR .C"
CLAMANT
BLUE FLAME MEDICAL LLC
AMOUNT
60,888,600.00
CONTR.
2019
ECE1PT
1" OBJECT
PRINT WARRANT DATE
ISSUE WARR. OATS IREOUEST)
CV)
Auarr CODE
PUNO NAUE
Service Revolving Fund
AGENCY' NAME
Department of General Services
AMOUNT
60,888,600.00
19000179
I hereby certify under penalty of perjury as follows:
"That I am a duly appointed, qualified and acting officer of the herein named state agency department, board, commission, office, or institution;
that the within claim is in all respects true, correct, and in accordance with law; that the services mentioned herein were actually rendered and sup-
plies delivered to the stale agency in accordance with the contract and law; that-authorizations for purchases have been duly obtained wherever re-
quired and that amounts claimed and articles delivered comply therewith; that the amounts of any refunds to claimants indicated herein were receiv-
ed from such claimants by the herein named agency in excess of that legally due it under the law, or are otherwise lawfully due such claimants; that
all of the expenditures herein set forth ore in accordance with the current budget allotments and provisions as approved by the Budget Division of
the' State Deportmnent of finance, and that none of the expenditures are in excess thereof; that there has been full compliance with all provisions or
restrictions in the budget act or ony other appropriation relating to expenditures herein; that the claimants named herein are each entitled to the
amount specified opposite their respective names and actually have been plaid or will be paid as allowed when warrant is received from the State
Controller; that I have not violated any of the provisions of Sections 1090 to 1096, inclusive, of the Government Code, in incurring the items of ex-
pense mentioned in the attached claim, or in any other way; that any disaster service worker for whom compensation or reimbursement for expenses
incurred is claimed herein has, if required by low, token, subscribed, and filed the oath set forth in Section 3103 of the Government Code."
TOTAL OF
SCHEDULE
CONTACT TELEPHONE (OPRONALI
60,888,600.00
CORRECTIONS swan=
DGS0222
WYLIE
ACCOUNTING OFFICER
DATE
03/25/20
REPORTABLE PAYMENTS
PER S.A.M. 8422.19
Case 1:20-cv-00658-LMB-IDD Document 132-13 Filed 05/07/21 Page 12 of 16
PageID# 2619
QTY
RATE
AMOUNT
100,000,00
4.76
476,000,000.00
0
1 37,961,000.
37,961,000.00
00
1 95,200,000,
95,200,000.00
00
DESCRIPTIQN
N95 Mask Models:
DTC 3B
DTX 3X
L-288
SEKURA-.321
Sales Tax - Ztp Code
Rate 7:055?;
Shipping Cost for 100,000,000 Masks
t:.DATF
ACTIVITY
03/25/2020
N95 Masks
Sales Tax
Shipping
(
Blue Flame Medical LLC
499 South Capitol St., SW Suite. 420
Washington, DC 20003 US
Biueftarne
Medical
INVOICE
20032501 E
03/25/2020
Due on receipt
03/25/2020
BILL TO
Michael Wong
Contracts Administrator
Procurement Division
Department of General Services
State of California
916-441-9619
Michael.Wong@dgs.ca.gov
INVOICE
DATE
TERMS
DUE DATE
•
Pane 1 of
DGS0223
•
Case 1:20-cv-00658-LMB-IDD Document 132-13 Filed 05/07/21 Page 13 of 16
PageID# 2620
Invoice Number
Amount
20032501A
$99,000,000.00
200325018
$99,000,000.00
200325010
$99,000,000.00
20032501D
$99,000,000.00
20032501E
$60,888,600.00
Total
$456,888,600.00
DGS0224
Case 1:20-cv-00658-LMB-IDD Document 132-13 Filed 05/07/21 Page 14 of 16
PageID# 2621
C }lain
rat_ge
Dail kc,
instructions for wiring funds to Chain Bridge Bank, N.A.:
Receiving bank:
Chain.Bridge Bank, N.A., McLean, VA
Routing/Transit Number:
For credit to (or Beneficiary): :BlueTiame, edical.LIC
Beneficiary's account number
Account Type:
Checking
Chain Bridge Bank, N.A. 1445.-A Langhiin.Avenue McLean, Virginia 22101 703.748.2005
7‘717,7w.enairibridgebank.eorn.
DGS0225
Case 1:20-cv-00658-LMB-IDD Document 132-13 Filed 05/07/21 Page 15 of 16
PageID# 2622
ErIcRIELIABLx!spRylcgsig;
190 Sierra Ct, Ste B213
Palmdale, CA 93550
Phone: 818-943-7638
Email: epicreliableservices@gmail.com
Contact: Rhonda Burr CMO
Company
Department of Health
Name:
Purchasing Services Unit
1616 Capitol Ave,
Sacramento, CA 95814
Phone: 916-950-0134
Contact Person: Sabel Davis
INVOICE
Customer Number: 3091
Statement Date: 3/24/20
(novice Number: 771011
Quantity
Description
Unit Price
Discount
Totals
500
PRT-00853-000
495
PRT00930-00
900
PRT-00850-000 External bacterial Filter 10 Pack
600
PRT-01002-000
600
PRT-01092-000 Nebulizer Filter 5 Pack
5
PRT-01013-000.' .PediatriC, Active ; Oxygen 10 Pack
VOCSN PRO
$10,500,000.00
$233,501.40 •
$41,823.00
$92,1.60 •
$13.79
$8,274.00
S471.72
$2,358.60
Total: US $10,878,099.00
Balance Due: $10,878,099.00
Please make payment to: Epic Reliable Services.
Thank you!
Case 1:20-cv-00658-LMB-IDD Document 132-13 Filed 05/07/21 Page 16 of 16
PageID# 2623