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Agmt05 San Mateo, County of - H
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Agmt05 San Mateo, County of - H
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Last modified
11/12/2008 11:35:54 AM
Creation date
1/3/2006 11:35:55 AM
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Template:
Agreement
Contractor Name
San Mateo, County of - Human Services Agency HSA
PROJECT NAME
information & referral services
RMP File Number
304
Date
9/26/2005
MO Ref
05-179
Amendment
Yes
Box
6599
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<br />COUNTY OF SAN MATEO <br />AGREEMENT WITH INDEPENDENT CONTRACTOR <br /> <br />Exhibit "A" <br />Agreement No. '11 [:òo- C ~~- ~ ¡ 3C) <br /> <br />Agreement between the County of San Mateo and City of Redwood City - Fair Oaks Community Center <br /> <br />Use Additional Sheets as Necessary <br /> <br />I. Descriution of Services to be Performed by the Contractor <br /> <br />See Exhibit Al - Program/Project Description - Attached <br /> <br />II. Amount. Method and Rate of Payment <br /> <br />See Exhibit 8 - Method and Rate of Payment - Attached <br /> <br />III. Other Attachments and Exhibits <br /> <br />Attachment I - Assurance of Compliance with Section 504 <br />Exhibit C - Equal Benefits Compliance Declaration Form <br />Exhibit D - Program Monitoring <br /> <br />Contractor agrees that the requirements of this Agreement pertaining to the protection of proprietary rights and confidentiality shall survive <br />termination of this Agreement. <br /> <br />/;./Í/.. /,c).) <br />I // // Ili-- <br />/. '¿r <br />\r/L~/{UJl .. <br /> <br />Contractor's Signature <br /> <br />a¡ /.1..' <br />7./ )-í;- ~O t;j <br /> <br />Date Contractor's Name <br />(Please Print) <br /> <br />"'~ ; 1 <br />J-.--ilytll <br />L.\.( ..c ' í <br /> <br />¿j l~!¡.. It) <br />I ' <br />Date <br /> <br /> <br />tfl ~ ,- <br /> <br />~~~i~ ~ N'ffi' <br /> <br />(Please Print) <br /> <br />I cJl ~ò.r- <br /> <br />Date <br /> <br />(~ <br /> <br />~gent, County of San Mateo <br /> <br />/0 . '-or. ~S <br />Date <br /> <br />Budget Unit <br /> <br />Revised 02/04 <br /> <br />Distribution - I copy to each: Purchasing Agent, County Manager's Office, Controller, Contractor and Department <br />
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