Common use of CONTRACTOR California Department of General Services Use Only Clause in Contracts

CONTRACTOR California Department of General Services Use Only. CONTRACTOR’S NAME (if other than an individual, state whether a corporation, partnership, etc.) County of San Bernardino BY (Authorized Signature) ✍ DATE SIGNED(Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING Xxxxxx Xxxxxxxxxx, Chair, Board of Supervisors ADDRESS 000 Xxxx Xxxxx Xxxxxx Xxx Xxxxxxxxxx, XX 00000 AGENCY NAME Department of Consumer Affairs, Dental Board of California BY (Authorized Signature) ✍ DATE SIGNED(Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING Xxxxx Xxxxxx, Contract Operations Manager ADDRESS 0000 X. Xxxxxx Xxxx., Xxxxx X-000 Xxxxxxxxxx, XX 00000

CONTRACTOR California Department of General Services Use Only. CONTRACTOR’S NAME (if other than an individual, state whether a corporation, partnership, etc.) Humboldt County Association of San Bernardino Governments SAFE BY (Authorized Signature) ✍ DATE SIGNED(Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING Xxxxxx XxxxxxxxxxADDRESS Humboldt County Association of Governments SAFE 000 “X” Xxxxxx, ChairXxxxx X, Board of Supervisors ADDRESS 000 Xxxx Xxxxx Xxxxxx Xxx XxxxxxxxxxXxxxxx, XX Xx 00000 AGENCY NAME Department of Consumer Affairs, Dental Board of California Highway Patrol BY (Authorized Signature) ✍ DATE SIGNED(Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING Xxxxx XxxxxxX. XXXXXX, Contract Operations Manager Assistant Chief, Administrative Services Division ADDRESS 0000 X. Xxxxxx Xxxx.X.X. Xxx 000000, Xxxxx X-000 Xxxxxxxxxx, XX 00000-0000

CONTRACTOR California Department of General Services Use Only. CONTRACTOR’S NAME (if other than an individual, state whether a corporation, partnership, etc.) County of San Bernardino BY (Authorized Signature) ✍ DATE SIGNED(Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING Xxxxxx Xxxxxxxxxx, Chair, Board of Supervisors ADDRESS 000 Xxxx Xxxxx Xxxxxx Xxx Xxxxxxxxxx, XX 00000 AGENCY NAME Department of Consumer Affairs, Dental Board Division of California Investigation BY (Authorized Signature) ✍ DATE SIGNED(Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING Xxxxx XxxxxxXXXXX XXXXXX, Contract Operations Manager ADDRESS 0000 X. Xxxxxx Xxxx., Xxxxx X-000 Xxxxxxxxxx, XX 00000

CONTRACTOR California Department of General Services Use Only. CONTRACTOR’S NAME (if other than an individual, state whether a corporation, partnership, etc.) Mendocino County Sheriff’s Office of San Bernardino Emergency Services BY (Authorized Signature) ✍  DATE SIGNED(Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING Xxxxxx XxxxxxxxxxXxxxxx, Chair, Board of Supervisors Sheriff-Coroner ADDRESS 000 Xxxx Xxxxx Xxxxxx Xxx XxxxxxxxxxXxx Xxxx, Xxxxx, XX 00000 AGENCY NAME Department of Consumer Affairs, Dental Board of California CaliforniaVolunteers BY (Authorized Signature) ✍  DATE SIGNED(Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING Exempt per: Xxxxx Xxxxx, Secretary of Service and Volunteering ADDRESS 000 X Xxxxxx, Contract Operations Manager ADDRESS 0000 X. Xxxxxx Xxxx.Xxxxx 0000, Xxxxx X-000 Xxxxxxxxxx, XX 00000