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� <br /> THIS CONTRACT IS NOT VALID UNTIL SIGNED BY ALL PARTIES <br /> �/� —`-°�� �v U � � bert B.Bell—Ci Mana er <br /> Contractor's Signature Date tor's ame( ea int <br /> Att�St: <br /> - il��iaVonderii en, ty er <br /> =�C�' �'�v4�`�i-(.Gl . r Pat Brown—Executive Director <br /> Contractor's Signature Date Contractor's Name(Please Print) <br /> I 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 /> Purchasi nt, ty of San Ma eo Date <br /> -��_'i�t-(-� <br /> Department or visi n ea pproval Date <br /> SaraT L.Maver—Health Policv and Plannine SSSOB/55511 <br /> Department or Division Head Name(Please Print) Budget Unit <br /> Distribution—1 copy to each:Purchasing Agent,Counry Manager's Office,Controller,Contractor and DepaRment v8/19/08 <br /> Short Form Agreement/Non Business Associate <br /> 3 <br /> ATTY/AGR/2012.203/COUNTY OF SM HEALTH FOR NFO COMMUNICATION PLAN <br /> REV: 12-18-12 PT <br />