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<br />6.1C <br />Page 5 <br /> <br />COUNTY OF SAN MATEO <br />AGREEMENT WITH INDEPENDENT CONTRACTOR <br /> <br />Exhibit "A" <br />Agreement No. <br /> <br />Agreement between the County of San Mateo and City of Redwood CitylFair Oaks Community Center <br /> <br />Usc Additianal Sheets as Necessary <br /> <br />I. Description of Services to be Performed bv the Contractor <br />See Exhibit A I - Program/Project Description <br /> <br />II. Amount and Method ofPavment <br />See Exhibit B - Methad and Rate of Payment <br /> <br />m. Other Exhibits and Attachments <br />At1achment H -Health Insurance POl1ability and Accountability Act (HIPAA) <br />Attachmcnt I - Contractor's Declaration Form <br /> <br />Contmctor agrees that the requirements of this Agreement pertaining to the protection af proprietary rights and canfidentiality shall survive <br />termination of this Agreement. <br /> <br />Contractor's Signature <br /> <br />Date <br /> <br />Contractor's Name <br />(Please Print) <br /> <br />Date <br /> <br />Department 0.1' Division Head <br /> <br />Date <br /> <br />Department or Division Head Name <br />(Please Print) <br /> <br />Date <br /> <br />Purchasing Agent, County of San Mateo. <br /> <br />Date <br /> <br />Budget Unit <br /> <br />Rev ised 6/0.3 <br /> <br />Distribution - 1 copy to each: Purchasing Agent, COUIllY Manager's OI11oe, Controller, Contractor and Department <br />