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<br />6.10 <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 />Contmctor's Name (Please Print) <br /> <br />J hereby certifY that the 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 office, 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 />71140-5856 <br />Budget Unit <br /> <br />Distribution - I copy to each: Purchasing Agent, County Manager's Office, Controller, Contractor and Department <br />Short Form Agreement/Non Business Associate <br /> <br />v 6124104 <br /> <br />3 <br />