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<br />MUU-~~-~~~~ ~O'~O <br /> <br />I".'--'f', "UI". <br /> <br />~ <br /> <br />DATE: <br /> <br />SAN MATEO COUNTY <br />. MEMORANDUM <br />'3PW/O ~ <br /> <br />TO: <br /> <br />Priscilla Harris Morse <br /> <br />~ 1ini N at}, <br />~478 <br /> <br />FAX: 363-4864 PONY: EPS 163 <br /> <br />FROM: <br /> <br />PONY: HSA210 <br /> <br />SUBJECT: <br /> <br />Contract Insurance Approval <br /> <br />The following is to be completed by the department before submission to Risk Management: <br /> <br />CONTRACTOR NAME: City ofRWC and RWC School District <br /> <br />DOES THE CONTRACTOR TRAVEL AS APART OF THE CONTRACT SERVICES?: <br />no <br /> <br />NUMBER OF EMPLOYEES WORKING FOR CONTRACTOR: yes <br /> <br />DUTIES TO BE PERFORMED BY CONTRACTOR FOR COUNTY: Funds for Redwood <br />Family Centers. <br /> <br />The following will be completed by Risk Management: <br /> <br />INSURANCE COVERAGE: Amount Approve Waive Modify <br />Comprehensive General Liability $1,000,000 ~ D 0 <br />Motor Vehicle Liability $1.000,000 ~ 0 0 <br />Professional Liability $1,000,000 W 0 0 <br />Workers' Compensation $sraturtory Q/" 0 0 <br />REMARKS/CO1vfMENTS: . <br /> <br />(j~~ ~ <br /> <br />Risk Management Signature <br /> <br /><3(z,í(O3 <br /> <br />Date <br /> <br />"--"-""'--"""""'-"---""."--~"-'-"""""""-"'" . <br />