Laserfiche WebLink
<br />6.1C <br />Page 4 <br /> <br />THIS CONTRACT IS NOT VALID UNTIL SIGNED BY ALL PARTIES <br /> <br />Contractor's Signature <br /> <br />Date <br /> <br />Contractor's Name (Please Print) <br /> <br />I hereby certify that tile 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 oftice, 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 />Purchasing Agent, County of San Mateo <br /> <br />Date <br /> <br />Department or Division Head Approval <br /> <br />Date <br /> <br />Department or Division Head Name (Please Print) <br /> <br />Budget Unit <br /> <br />Distribution- J copy to each: Purchasing Agent, County Manager's Office, Contro!ler, Contractor and Department <br />ShOlt Form AgrecmenUNon Business Associate <br /> <br />v 6124/04 <br /> <br />3 <br />