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AgdaPkt 2003-08-25
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AgdaPkt 2003-08-25
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Last modified
6/2/2011 2:26:21 PM
Creation date
8/21/2003 3:19:16 PM
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Template:
CC Index
CC Index - Document Type
Agenda Packet
Agency Type
City Council
Date
8/25/2003
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Exhibit F <br />Equal Benefits Compliance Declaration <br />I Vendor Identification <br />Name of Contractor: FAIR OAKS COMMUNITY CENTER - CITY OF REDWOOD CITY <br />Contact Person: Teri Chin <br />Address: 2600 Middlefield Road <br />Redwood City, CA 94063 <br />Phone Number: (650) 780 -7500 Fax Number: (650) 298 -8184 <br />II Employees <br />Does the Contractor have any employees? )( Yes _ No <br />Does the Contractor provide benefits to spouses of employees? _ Yes )< No <br />III Equal Benefits Compliance (Check one) <br />❑ Yes, the Contractor complies by offering equal benefits, as defined by Chapter 2.93, to its <br />employees with spouses and its employees with domestic partners. <br />❑ Yes, the Contractor complies by offering a cash equivalent payment to eligible employees in lieu <br />of equal benefits. <br />❑ No, the Contractor does not comply. <br />The Contractor s under a collective bargaining agreement which began on 2 0 t (date) and <br />expires on � I o'f(date). <br />R' Declaration <br />I declare under penalty of perjury under the laws of the State of California that the foregoing is true <br />and correct, and that I am authorized to bind this entity contractually. <br />Executed this — day of , 2001 at <br />(City) (State) <br />Signature Name (please print) <br />Title <br />Fla <br />
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