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<br /> - . ,- - <br /> . . <br /> EXHIBIT C <br /> COUNTY OF SAN MATEO <br /> Equal Benefits Compliance Declaration Form <br /> I Vendor Identification <br /> Name of Contractor: Redwood City School District <br /> Contact Person: Ronald F, Crates <br /> Address: 750 Bradford SI. <br /> Redwood City,CA 94063 <br /> Phone Number: (650)423-2200 <br /> Fax Number: <br /> <br /> II Employees <br /> Does the Contractor have any employees? ¡g¡ Yes 0 No <br /> Does the Contractor provide benefits to spouses of employees? 0 Yes J8 No <br /> "If the answer to one or both of the above is no, please skip to Section IV." <br /> III Eaual Benefits Compliance (Check one) <br /> ŒI 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 /> 0 Yes, the Contractor complies by offering a cash equivalent payment to eligible employees <br /> in lieu of equal benefits. <br /> 0 No, the Contractor does not comply. <br /> 0 The Contractor is under a collective bargaining agreement which began on <br /> (date) , and expires on (date). <br /> <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 /> carre and that I am Gouthorized to bind this entity contractually. <br /> í<o ,,0-. VI. ç. Cra\-eS <br /> Name (Please Print) <br /> S'-'-ÇJ<:"r i (\-K..~ R '\ lO \ ô ID"<., <br /> Title Date <br /> Page 17 of 25 --.. .---- <br />