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7.1-Gl�j <br /> EXHIBIT C <br /> COUNTY OF SAN MATEO <br /> Equai Benefits Compliance Declaration Form <br /> I Vendor ldentification <br /> Name of Contractor: Redwood City School District <br /> Contact Person: onald . rates <br /> Address: 750 Bradford St. <br /> Redwood City,CA 94063 <br /> Phone Number: - <br /> Fax Number: <br /> II Emplovees <br /> Does the Contractor have any employees? ❑ 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 compiies 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 17 of 25 <br /> 10/1 /2003 1:57 PM <br />