Common use of EMPLOYEE JURY SERVICE Clause in Contracts

EMPLOYEE JURY SERVICE. (check one or more boxes) Contractor complies with the County’s Employee Jury Service Ordinance. Contractor does not comply with the County’s Employee Jury Service Ordinance. Contractor is exempt from this requirement because: the contract is for $100,000 or less. Contractor is a party to a collective bargaining agreement that began on (date) and expires on (date), and intends to comply when the collective bargaining agreement expires. Contractors with original or amended contracts in excess of $100,000 must have and adhere to a written policy that provides its employees living in San Mateo County up to five days regular pay for actual jury service in the County. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct, and that I am authorized to bind this entity contractually. Signature Name Date Title 8-7-06 Page 1 of 1 Form W-9(Rev. October 2007)Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification Give form to the requester. Do not send to the IRS. Print or type See Specific Instructions on page 2. Name (as shown on your income tax return) BurlingameHacienda Business name, if different from above Check appropriate box: Individual/Sole proprietor Corporation Partnership Limited liability company. Enter the tax classification (D=disregarded entity, C=corporation, P=partnership) } Other (see instructions) } Exempt payee Address (number, street, and apt. or suite no.) 1012 El CaminoReal Requester’s name and address (optional) City, state, and ZIP code Burlingame,CA 94010 List account number(s) here (optional) Part I Taxpayer Identification Number (TIN) Social security number Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1 to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is Employer identification number 37 1582024 your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. or Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter.

EMPLOYEE JURY SERVICE. (check one or more boxes) Contractors with original or amended contracts in excess of $100,000 must have and adhere to a written policy that provides its employees living in San Mateo County up to five days regular pay for actual jury service in the County. Contractor complies with the County’s Employee Jury Service Ordinance. Contractor does not comply with the County’s Employee Jury Service Ordinance. Contractor is exempt from this requirement because: the contract is for $100,000 or less. Contractor is a party to a collective bargaining agreement that began on (date) and expires on (date), and intends to comply when the collective bargaining agreement expires. Contractors with original or amended contracts in excess of $100,000 must have and adhere to a written policy that provides its employees living in San Mateo County up to five days regular pay for actual jury service in the County. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct, and that I am authorized to bind this entity contractually. Signature Name Date Title 8-7-06 Page 1 of 1 Form W-9(Rev. October 2007)Department 2004)Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification Give form to the requester. Do not send to the IRS. Print or type See Specific Instructions on page 2. Name (as shown reported on your income tax return) BurlingameHacienda Business name, if different from above Individual/ Check appropriate box: Individual/Sole proprietor Corporation Partnership Limited liability company. Enter the tax classification (D=disregarded entity, C=corporation, P=partnership) } Other (see instructions) } Exempt payee from backup withholding Address (number, street, and apt. or suite no.) 1012 El CaminoReal Requester’s name and address (optional) City, state, and ZIP code Burlingame,CA 94010 List account number(s) here (optional) Part I Taxpayer Identification Number (TIN) Social security number – – Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1 to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is Employer identification number 37 1582024 your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. or Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter.. Employer identification number –

EMPLOYEE JURY SERVICE. (check one or more boxes) Contractor complies with the County’s Employee Jury Service Ordinance. Contractor does not comply with the County’s Employee Jury Service Ordinance. Contractor is exempt from this requirement because: the contract is for $100,000 or less. Contractor is a party to a collective bargaining agreement that began on (date) and expires on (date), and intends to comply when the collective bargaining agreement expires. Contractors with original or amended contracts in excess of $100,000 must have and adhere to a written policy that provides its employees living in San Mateo County up to five days regular pay for actual jury service in the County. Contractor complies with the County’s Employee Jury Service Ordinance. Contractor does not comply with the County’s Employee Jury Service Ordinance. Contractor is exempt from this requirement because: the contract is for less than $100,000 Contractor is a party to a collective bargaining agreement that began on (date) and expires on (date), and intends to comply when the collective bargaining agreement expires. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct, and that I am authorized to bind this entity contractually. Signature Name Date Title 8-7-06 Page 1 of 1 SIGNATURE PRINTED NAME DATE TITLE Form W-9(Rev. October 2007)Department W-9 (Rev. December 2000) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification Give form to the requester. Do not send to the IRS. Print or type Name (See Specific Instructions on page 2. Name (as shown on your income tax return.) BurlingameHacienda Please print or type Business name, if different from above above. (See Specific Instructions on page 2.) Check appropriate box: Individual/Sole proprietor Corporation Partnership Limited liability company. Enter the tax classification (D=disregarded entity, C=corporation, P=partnership) Other } Other (see instructions) } Exempt payee Address (number, street, and apt. or suite no.) 1012 El CaminoReal Requester’s name and address (optional) City, state, and ZIP code Burlingame,CA 94010 Part I Taxpayer Identification Number (TIN) List account number(s) here (optional) Part I Taxpayer Identification Number (TIN) Social security number Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1 to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 32. For other entities, it is Employer identification number 37 1582024 your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 32. or Note. : If the account is in more than one name, see the chart on page 4 2 for guidelines on whose number to enter. Social security number – – or Part II Employer identification number – For U.S. Payees Exempt From Backup Withholding (See the instructions on page 2.) Part III Certification Under penalties of perjury, I certify that:

EMPLOYEE JURY SERVICE. (check one or more boxes) Contractor complies with the County’s Employee Jury Service Ordinance. Contractor does not comply with the County’s Employee Jury Service Ordinance. Contractor is exempt from this requirement because: the contract is for $100,000 or less. Contractor is a party to a collective bargaining agreement that began on (date) and expires on (date), and intends to comply when the collective bargaining agreement expires. Contractors with original or amended contracts in excess of $100,000 must have and adhere to a written policy that provides its employees living in San Mateo County up to five days regular pay for actual jury service in the County. Contractor complies with the County’s Employee Jury Service Ordinance. Contractor does not comply with the County’s Employee Jury Service Ordinance. Contractor is exempt from this requirement because: the contract is for less than $100,000 Contractor is a party to a collective bargaining agreement that began on (date) and expires on (date), and intends to comply when the collective bargaining agreement expires. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct, and that I am authorized to bind this entity contractually. Signature Name Date Title 8-7-06 Page 1 of 1 SIGNATURE NAME DATE TITLE Social security number – – Employer identification number – Form W-9(Rev. October 2007)Department W-9 (Rev. December 2000) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification Give form to the requester. Do not send to the IRS. Print or type Name (See Specific Instructions on page 2. Name (as shown on your income tax return.) BurlingameHacienda Business name, if different from above above. (See Specific Instructions on page 2.) Check appropriate box: Individual/Sole proprietor Corporation Partnership Limited liability company. Enter the tax classification (D=disregarded entity, C=corporation, P=partnership) Other } Other (see instructions) } Exempt payee Address (number, street, and apt. or suite no.) 1012 El CaminoReal Requester’s name and address (optional) City, state, and ZIP code Burlingame,CA 94010 List account number(s) here (optional) Part I Taxpayer Identification Number (TIN) Social security number List account number(s) here (optional) Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1 to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 32. For other entities, it is Employer identification number 37 1582024 your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 32. or Note. : If the account is in more than one name, see the chart on page 4 2 for guidelines on whose number to enter. or Part II For U.S. Payees Exempt From Backup Withholding (See the instructions on page 2.) } City, state, and ZIP code Address (number, street, and apt. or suite no.) Please print or type Part III Certification Under penalties of perjury, I certify that:

EMPLOYEE JURY SERVICE. (check one or more boxes) Contractor complies with the County’s Employee Jury Service Ordinance. Contractor does not comply with the County’s Employee Jury Service Ordinance. Contractor is exempt from this requirement because: the contract is for $100,000 or less. Contractor is a party to a collective bargaining agreement that began on (date) and expires on (date), and intends to comply when the collective bargaining agreement expires. Contractors with original or amended contracts in excess of $100,000 must have and adhere to a written policy that provides its employees living in San Mateo County up to five days regular pay for actual jury service in the County. Contractor complies with the County’s Employee Jury Service Ordinance. Contractor does not comply with the County’s Employee Jury Service Ordinance. Contractor is exempt from this requirement because: the contract is for less than $100,000 Contractor is a party to a collective bargaining agreement that began on (date) and expires on (date), and intends to comply when the collective bargaining agreement expires. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct, and that I am authorized to bind this entity contractually. Signature Name Date Title 8-7-06 Page 1 of 1 SIGNATURE PRINTED NAME DATE TITLE Form W-9(Rev. October 2007)Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification Give form to the requester. Do not send to the IRS. Print or type See Specific Instructions on page 2. Name (as shown on your income tax return) BurlingameHacienda Business name, if different from above Check appropriate box: Individual/Sole proprietor Corporation Partnership Limited liability company. Enter the tax classification (D=disregarded entity, C=corporation, P=partnership) } Other (see instructions) } Exempt payee Address (number, street, and apt. or suite no.) 1012 El CaminoReal Requester’s name and address (optional) City, state, and ZIP code Burlingame,CA 94010 List account number(s) here (optional) Part I Taxpayer Identification Number (TIN) Social security number Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1 to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is Employer identification number 37 1582024 your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. or Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter.

EMPLOYEE JURY SERVICE. (check one or more boxes) Contractor complies with the County’s Employee Jury Service Ordinance. Contractor does not comply with the County’s Employee Jury Service Ordinance. Contractor is exempt from this requirement because: the contract is for $100,000 or less. Contractor is a party to a collective bargaining agreement that began on (date) and expires on (date), and intends to comply when the collective bargaining agreement expires. Contractors with original or amended contracts in excess of $100,000 must have and adhere to a written policy that provides its employees living in San Mateo County up to five days regular pay for actual jury service in the County. Contractor complies with the County’s Employee Jury Service Ordinance. Contractor does not comply with the County’s Employee Jury Service Ordinance. Contractor is exempt from this requirement because: the contract is for less than $100,000 Contractor is a party to a collective bargaining agreement that began on (date) and expires on (date), and intends to comply when the collective bargaining agreement expires. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct, and that I am authorized to bind this entity contractually. Signature Name Date Title 8-7-06 Page 1 of 1 SIGNATURE PRINTED NAME DATE TITLE Social security number – – Employer identification number – Form W-9(Rev. October 2007)Department W-9 (Rev. December 2000) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification Give form to the requester. Do not send to the IRS. Print or type Name (See Specific Instructions on page 2. Name (as shown on your income tax return.) BurlingameHacienda Business name, if different from above above. (See Specific Instructions on page 2.) Check appropriate box: Individual/Sole proprietor Corporation Partnership Limited liability company. Enter the tax classification (D=disregarded entity, C=corporation, P=partnership) Other } Other (see instructions) } Exempt payee Address (number, street, and apt. or suite no.) 1012 El CaminoReal Requester’s name and address (optional) City, state, and ZIP code Burlingame,CA 94010 List account number(s) here (optional) Part I Taxpayer Identification Number (TIN) Social security number List account number(s) here (optional) Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1 to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 32. For other entities, it is Employer identification number 37 1582024 your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 32. or Note. : If the account is in more than one name, see the chart on page 4 2 for guidelines on whose number to enter. or Part II For U.S. Payees Exempt From Backup Withholding (See the instructions on page 2.) } City, state, and ZIP code Address (number, street, and apt. or suite no.) Please print or type Part III Certification Under penalties of perjury, I certify that:

EMPLOYEE JURY SERVICE. (check one or more boxes) Contractors with original or amended contracts in excess of $100,000 must have and adhere to a written policy that provides its employees living in San Mateo County up to five days regular pay for actual jury service in the County. Contractor complies with the County’s Employee Jury Service Ordinance. Contractor does not comply with the County’s Employee Jury Service Ordinance. Contractor is exempt from this requirement because: the contract is for $100,000 or less. Contractor is a party to a collective bargaining agreement that began on (date) and expires on (date), and intends to comply when the collective bargaining agreement expires. Contractors with original or amended contracts in excess of $100,000 must have and adhere to a written policy that provides its employees living in San Mateo County up to five days regular pay for actual jury service in the County. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct, and that I am authorized to bind this entity contractually. Signature Name Date Title 8-7-06 Page 1 of 1 Form W-9(Rev. October 2007)Department January 2003)Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification Give form to the requester. Do not send to the IRS. Print or type See Specific Instructions on page 2. Name (as shown on your income tax return) BurlingameHacienda Business name, if different from above Individual/ Check appropriate box: Individual/Sole proprietor Corporation Partnership Limited liability company. Enter the tax classification (D=disregarded entity, C=corporation, P=partnership) } Other (see instructions) } Exempt payee from backup withholding Address (number, street, and apt. or suite no.) 1012 El CaminoReal Requester’s name and address (optional) City, state, and ZIP code Burlingame,CA 94010 List account number(s) here (optional) Part I Taxpayer Identification Number (TIN) Social security number – – Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1 to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is Employer identification number 37 1582024 your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. or Note. : If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter.. Employer identification number – Part II Certification Under penalties of perjury, I certify that: