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6.1.B. - Page 16 <br /> Cour�ty of San Mateo <br /> Gont�ractor's Declarafiinn Form <br /> 1. CONTRACTOR fNFO�I�AT[ON <br /> Cantractor l�ame: Cify of Redv�ood Ci Phone: 6�0-78a-7301 <br /> Contact Person: Robert B. Bell Fax: 65�-298-8184 � _, <br /> Address: CifyHall 1D17 Midd[efiefd Rd <br /> Redwood City, CA 9�4053 <br /> !1. EQUAl.BENEF{TS(check ane or more boxes) <br /> Confrac�ors with contracts in excess of$5,000 musf freat spouses and dorr�es�ic partrrers equally as to emptoyse ben��fs. <br /> Gontractor complies with the County's Equal Ber�efits Ordinance by: <br /> o#fering equal benefits to em�loyees with spouses and employ�es with do�nestic par��ers. <br /> offering a casl�equivalent payr��nt to�ligible employees in �ieu of equal k�enefits. <br /> Cantractor does not comply w€th the County's Eqt�al Benefifis Ordir�anc�. <br /> Co�fractor is exemp�from this re�uirement bacat�se: <br /> Contractor�as no empfayees,does�ot provide bene�its io empl�yees'spous�s, or the contract is for$5,000 <br /> or less. <br /> Contractor is a party to a co(lective bargair�ing agreement fihat b�gan or�_�date)ar�d expires an_(date}, <br /> and irttends to offgr equa] benefts when said agreement expires. <br /> [II. NON-l7�SCR6MINA7'EON (check appropriate box) <br /> Finding(s)of diser�mina#ion have been issued against Contractar within the pas�year by fih� Equaf Emplayment <br /> O�portunity Cor�mission, Fair Employment and Housing Cor�mission, or other investigative entity, Please see <br /> at�ached sE�eet of paper explaining the outcome(s)or remedy�ar the discritninafiion. <br /> No f€�ding of discrimination I�as been issued in t�e past year against the Contractar by the�qual Employm�r�t <br /> Oppartunity Comr�ission, Fair�mployment and Housing Gammissio�,or any other entity. <br /> N. EMPLOYEE JURY SERVIC� (check one or mare baxes) <br /> Contracfors with ariginal oramended cantracts in excess of$��0,000 musf{�ave and adhere to a�vritten p�lrcy that <br /> provrdes ifs empfo yees{iving in San Mateo Caunty up€o five days reguiar pay far actua!jury service tn fhe Counfy. <br /> Contractar complies with the County's Employee,��ry Service Qrdinance. <br /> Confractor does not comply with the County's�mployee Jury Senrice Ortlinanee. <br /> Contractor is exempt fram this requiremenf because: <br /> the eontrac#is for$100,000 or Eess. <br /> Gor��raetor is a party to a eollectiue bar�aining agreeme�t t�at began on_(date)and expires on _ {date}, <br /> and in�er�ds to car�ply when the colfectiv�bargaining agresmer�#exp�res. <br /> I declare under penalty of perjury under the laws of the 8tate of Caiifomia that f�re foregaing 'rs true anc!correct, <br /> and�hat 1 a�n authorized to �ind tE�is entity contraetual#y. <br /> Signatt�re �Vame <br /> Date Title <br />