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<br />Exhibit C <br />Equal Benefits Compliance Declaration Form <br /> <br />I Vendor Identification <br /> <br />Phone Number <br />Fax Number <br /> <br />First Community Housing <br />Geoff Morgan <br />2 North 2nd Street Suite 1250 <br />San Jose, CA 95113 <br />408-291-8650 <br />408-993-9098 <br /> <br />Name of Contractor <br />Contact Person <br />Address: <br /> <br />II Employees <br /> <br />Does the Contractor have any employees? r9 No <br /> <br />Does the Contractor provide ben- 10 spouses of employees? c9 No <br /> <br />*If the answer to one or both of the above is no, please skip to Section IV.* <br /> <br />III EQual Benefits CompUance (Check one) <br /> <br />Yes, the Contractor complies by offering equal benefits, as defined by Chapter 2.93, to its <br />employees with spouses and its employees with domestic partners. <br />Yes, the Contractor complies by offering a cash equivalent payment to eligible employees in <br />lieu of equal benefits. <br />No, the Contractor does not comply. <br />The Contr7~or is under a collective bargaining agreeme/n~which began on <br /> <br />/tf II (date), and expires on I~ ,(~ (date). <br /> <br />IV Declaration <br /> <br /> <br />0 perjury under the laws of the State of California that the foregoing is true <br />horized to bind this entity contractually. <br /> <br /> <br />Contract VM <br /> <br />11 <br /> <br />.... "..._~-"-"......"..,,...._....--_.. .~..._---- <br />