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<br />COUNTY OF SAN MATEO <br />AGREEMENT~THINDEPENDENTCONTRACTOR <br /> <br />Exhibit "A" <br />Agreement No. r ((:>.,.-0 .. 0 J2 - C ~) 3:. b <br /> <br />Agreement between the County of San Mateo and the City of Redwood City - Fair Oaks Community Center <br /> <br />Use Additional Sheets as Necessary <br /> <br />I. Description of Services to be Performed bv the Contractor <br />See Exhibit Al - ProgramlProject Description <br /> <br />II. Amouht and 'Method of Payment <br />See Exhibit B - Method and Rate of Payment <br /> <br />III. Other Exhibits and Attachments <br />Exhibit C - Program Monitoring <br />Exhibit D - Outcome Based Management Initiative <br />Attachment I - Assurance of Compliance <br />Attachment II - Health Insurance Portability and Accountability Act (HIP AA) <br />Attachment III - Contractor's Declaration Form <br /> <br /> <br />b EVELETr <br /> <br />Contractor's Name <br />(Please Print) <br /> <br />{!~7 <br /> <br />Date <br /> <br />6 -k,pn en IzCtp lan <br /> <br />lJhg 101 <br /> <br />Date <br /> <br />Department or Division Head Name <br />(Please Print) <br /> <br />Date <br /> <br />I <br /> <br />~ <br /> <br />Purchasing Agent, County of San Mateo <br /> <br />~,,1..~.o 7 <br /> <br />Date <br /> <br />1/100 <br /> <br />Budget Unit <br /> <br />Revised 6/03 <br /> <br />Distribution - ] copy to each: Purchasing Agent, County Manager's Office, Controller, Contractor and Department <br />