Laserfiche WebLink
�.�--Gig <br /> EXHIBIT C <br /> COUNTY OF SAN MATEO <br /> Equal Benefits Compliance Declaration Form <br /> I Vendor ldentification <br /> Name of Contractor. City of Redwood City <br /> Contact Person: ichard aire <br /> Address: 1017 Middlefield Road <br /> Redwood City,CA 94063 <br /> Phone Number: <br /> Fax Number: <br /> II Emplovees <br /> Does the Contractor have anyemployees? ❑ Yes ❑ No <br /> Does the Contractor provide benefits to spouses of employees? ❑ Yes ❑ No <br /> 'If the answer to one or both of the above is no, please skip to Section IV.' <br /> III Equal Benefits Comaliance (Check onel <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 <br /> in lieu of equal benefits. <br /> ❑ No, the Contractor does not comply. <br /> ❑ The Contractor is under a collective bargaining agreement which began on <br /> (date) , and expires on (date). <br /> IV Declaration <br /> I declare under penalty of perjury under the laws of the State of California that the foregoing is true and <br /> correct, and that I am authorized to bind this entity contractually. • <br /> Signature Name (Please Print) <br /> Title Date <br /> Page 16 of 25 <br /> 10/1/20031:57 PM <br />