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Agreement with Independent Contract <br /> Page 2 <br /> <br /> Note: Your insurance must remain in a current status <br /> throughout the life of the Agreement. Please have your <br /> insurance company send verification of renewals and/or <br /> X changes in service as they occur. <br /> <br /> Completed and signed W-9 Request for Taxpayer <br /> Identification Number and Certification <br /> <br /> Current Schedule of Fees <br /> <br /> X Completed Equal Benefits Compliance Declaration. Effective <br /> July 1, 2001: "All contractors with contracts over $5,000 must <br /> comply with County Ordinance Code with respect to <br /> provision on employee benefits; as set forth in the ordinance, <br /> such contractors are prohibited fi.om discriminating in the <br /> provision of employee benefits bet~'een an employee with a <br /> domestic partner and an employee with a spouse." <br /> <br />Please return the completed Agreements and'requested items to my attention within ten (10) <br />working days. The Agreement will be executed by the Director of Public Works. A signed copy <br />will be sent to you al~er execution. Please include our contract agreement number on all <br />invoices when submitting invoices for payments. <br /> <br />If you have any questions, please call me at (650) 599-1426. <br /> <br /> Very truly yours, <br /> <br /> Gall Radcliffe <br /> Contract Administrator <br /> San Mateo County <br /> Department of Public Works <br /> <br />Enclosure: Agreement with Independent Contractor <br /> Equal Benefits Packet <br /> <br />CC: Donna Vaillancourt <br /> <br /> <br />