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<br />THIS CONTRACT IS NOT VALID UNTIL SIGNED BY <br /> <br />3(.2(( (trS- <br /> <br />Date' <br /> <br /> <br />Contractor's Signature <br /> <br />I hereby certify that the services requested are necessary, that the selection process documentation is accurate, that all insurance certificates <br />including Worker's Compensation are on file in this office, that Risk Management has approved any reductions in Contractor's insurance <br />limits below $1,000,000, and that no work will commence until this document is signed by the County Purchasing Agent. <br /> <br />I' <br /> <br /> <br />10 I ~ f. 0 r- <br /> <br />Date <br /> <br />(o/r*.r- <br />Daté t <br /> <br />Department or Division Head Name (Please Print) <br /> <br />Budget Unit <br /> <br />Distribution - 1 copy to each: Purchasing Agent, County Manager's Office, Controller, Contractor and Department <br />Short Form AgreementINon Business Associate <br /> <br />v 6/24/04 <br /> <br />3 <br />