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In witness of and in agreement with this Agreement's terms, as amended, the parties, by their duly <br />authorized representatives, affix their respective signatures: <br />For Contractor: <br />COI <br />Date T Attorney Name (please print) <br />r�kt x �+-a, 4/z, /,1 4,7 <br />Contractor SignatureaB a Contractor Name <br />(please print) <br />For County: <br />_-VI(I1D '' <br />Purchasing Agent Signature <br />(Department Head or <br />Authorized Designee) <br />County of San Mateo <br />Template Version Date—August 26, 2016 <br />Page 4 <br />t <br />Date <br />Nicole Pollack r <br />Agency <br />Purchasing Agent Name <br />(please print) <br />(Department Head or <br />Authorized Designee) <br />County of San Mateo <br />Purchasing Agent or <br />Authorized Designee <br />Job Title (please print) <br />County of San Mateo <br />