2025-02-26 PETSMART CHARITIES EAC AGREEMENT C#.DOCX
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1 PetSmart Charities – CONFIDENTIAL EAC Agreement v20210222 Everyday Adoption Center Agreement This Everyday Adoption Center Agreement (this “Agreement”) is effective the last date signed below (“Effective Date”), by and between PetSmart Charities Inc., an Arizona non-profit corporation and Internal Revenue Code (“Code”) Section 501(c)(3) tax-exempt public charity, whose address is 19601 N. 27th Avenue, Phoenix, AZ 85027 (“Charities”), and Maricopa Animal Care & Control, whose address is 2500 S. 27th Avenue, Phoenix, AZ 85009 (“Participant”). Charities and Participant are sometimes referred to herein collectively as the “Parties” and each individually as a “Party”. Section 1 – PetSmart Charities Adoption Program A. Adoption Program. Subject to the terms of this Agreement, Charities agrees to permit Participant to participate in the PetSmart Charities adoption program (“Adoption Program”) located at one or more PetSmart Charities Adoption Centers or other space located at PetSmart retail stores, including space designated as an Everyday Adoption Center (“Everyday Adoption Center”), or in the case of special events, locations specified by Charities or PetSmart (collectively, “Adoption Center”). The Adoption Program’s sole purpose is to help facilitate and provide a location to facilitate adoptions of dogs, cats, or other certain pets (“Pets”). Participant acknowledges that in addition to its organization, other animal adoption agencies may also be permitted by Charities to hold adoptions at the same time and location as the Participant. B. Adoption Policies. In addition to the terms and conditions contained in this Agreement, Participant acknowledges that it has received, and agrees that it and its employees and volunteers will also comply with any additional policies, procedures and/or manuals (collectively, the “Policies”) as provided to Participant by Charities and/or PetSmart LLC (including its wholly-owned subsidiaries, “PetSmart”), including any future changes to those policies, procedures and/or manuals. Charities reserves the right to amend such adoption policies in its sole and absolute discretion. Charities will take reasonable steps to update Participant of any changes. Participant agrees that it is Participant’s sole responsibility for assuring that Charities has the most current and accurate contact information of Participant and agrees that it will still be bound by any changes to such policies, procedures and manuals, even if communication of such changes was not received by Participant, due to Participant not notifying Charities of any changes to in its contact information. C. Adoption Process. Subject to this Agreement and applicable law, Participant will use its own adoption policies and procedures when offering Pets for adoption, and will make the final decision in the adoption of a Pet. Participant shall retain ownership of each Pet until the adoption process is complete. Participant will require an adoption release form or other similar document specified by Charities to be signed by the adopting party. D. Adoption Assistance. If mutually agreed upon by Participant, Charities, and PetSmart, Charities may, through its relationship with PetSmart, facilitate use of PetSmart employees to support the Adoption Center, which may include conducting adoptions, providing care for Pets, and maintaining the facilities. In such event, Participant hereby authorizes Charities and/or PetSmart to carry out those activities agreed upon and to provide all reasonably necessary training on Participant’s practices, policies, and procedures. E. Adoption Center. Participant shall have the use of the Adoption Center free of rent or such costs. The Parties will mutually agree upon the date in which Participant will begin use of the Adoption Center. Additional locations may be added from time to time as deemed necessary by both Parties. Additional placements or change of locations can be accomplished upon written request made by Participant and written approval by Charities. Approval by Charities is in its sole and absolute discretion. F. Damage to Adoption Center. Participant will be responsible for any damage to the Adoption Center or related 2 PetSmart Charities – CONFIDENTIAL EAC Agreement v20210222 equipment caused by Participant, its staff, volunteers, Pets, or any other person or animals acting on or under Participant’s direction or control. Participant will, at its sole expense, maintain the Adoption Center in a clean, sanitary and orderly fashion and take preventative action to minimize the spread of communicable diseases among Pets. Participant is responsible for ensuring that the area is clean, fully sanitized and disinfected prior to departure each day and upon termination or expiration of this Agreement. G. Adoption Rewards. Charities may elect to provide certain monetary grants in conjunction with the Adoption Program (“Rewards”). Charities, in its sole and absolute discretion may determine the election, amount, modification, or termination of Rewards. Participant agrees to use such Rewards in the furtherance of its charitable purpose, specifically its Pet adoption program, or if permitted by Charities, other charitable purposes advancing animal welfare. Participant may not use Rewards for lobbying or political activities, or any purpose not permitted by the Code. H. Adoption Center Supplies. Charities may elect to provide products or pet food (collectively, “Product”) for use by Participant solely for the operation of the Adoption Center. Charities, in its sole and absolute discretion may determine the election, modification, or termination of Product. Participant understands and agrees that Product is provided in “as-is” condition and that Charities and PetSmart make NO WARRANTY, COVENANT OR REPRESENTATION, EXPRESSED OR IMPLIED, REGARDING THE PRODUCT, INCLUDING WITHOUT LIMITATION, THEIR DESIGN OR MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE (EXCEPT CHARITIES WARRANTS IT HAS GOOD TITLE TO THE PRODUCT AND CAN TRANSFER GOOD TITLE TO PARTICIPANT). NEITHER CHARITIES NOR PETSMART SHALL BE LIABLE FOR ANY DIRECT, INDIRECT, SPECIAL, PUNITIVE, OR CONSEQUENTIAL DAMAGES OR LOSSES SUFFERED OR INCURRED BY PARTICIPANT OR A THIRD PARTY AS A RESULT OF THE USE, OR CONSUMPTION OF THE PRODUCT. Participant waives any and all claims against and releases Charities and/or PetSmart from all liability associated with the use or consumption of the Product. Participant further understands and agrees that the U.S. Food and Drug Administration (“FDA”) regulations specify that protein derived from mammalian tissues is not to be used in ruminant feed and that the feeding of any pet food included with any Product to cattle or other ruminant animals is expressly prohibited by federal regulations. I. Reporting. Participant is required to submit the impact report(s) related to the Adoption Program specified by Charities along with any other information reasonably requested by Charities. J. Pet Eligibility. Except as specified in the Policies, all Pets must be spayed or neutered, and evaluated and deemed to be healthy, safe for interaction, adoptable, and in compliance with any applicable laws and regulations prior to placement in the Adoption Program. Pets showing or previously having shown any signs of aggression are strictly prohibited from the Adoption Program. Participant will isolate Pets at the first sign of illness or aggression and remove such Pets immediately from the Adoption Center and PetSmart premises. K. Request for Removal of Pet. Charities or its designee may require Participant to immediately remove any Pet from the Adoption Center or PetSmart premises as may be reasonably necessary to comply with Charities’ Adoption Policies, operate the Adoption Program, ensure the safety or well-being of any Pet or person, or comply with any applicable law or regulation in Charities’ sole discretion. L. Employees and/or Volunteers. Participant agrees that Participant’s employees who are working or facilitating adoptions in the Adoption Program must be at least 18 years old. Participant’s volunteers must be at least 16 years old and properly supervised by the Participant and accompanied by an adult at all times. Participant and all Participant employees and volunteers must maintain a clean, neat and professional appearance at all times, and conduct themselves in a professional and courteous manner. Participant shall only permit its employees and volunteers to participate in the Adoption Program. M. Agreement. Participant agrees to require all employees and volunteers working on behalf of Participant in conjunction with the Adoption Program to sign an agreement with Participant acknowledging that they are 3 PetSmart Charities – CONFIDENTIAL EAC Agreement v20210222 aware of and agree to comply with all policies, procedures and manuals, including this Agreement, and agreeing to waive any and all claims and liability against Charities and/or PetSmart resulting from participation in the Adoption Program. N. Potential Removal. In the event Charities or PetSmart has any objection to any Participant employee or volunteer, Charities or PetSmart shall have the right to require Participant to commence appropriate procedures to remedy the basis of any such objection. Upon reasonable request, PetSmart or Charities, in its sole discretion, may require the removal of the employee or volunteer from the Adoption Center or any other designated areas. O. Prohibited Conduct. Participant, its employees, volunteers or agents, may not, directly or indirectly during or after the term of this Agreement: 1. Sell, gift or generally compete with any of the products and/or services sold by PetSmart (such as grooming, pet training and veterinary services) while in the Adoption Center or on PetSmart premises. 2. Conduct fundraising activities while in the Adoption Center or on PetSmart premises, including directly soliciting donations; except Participant is welcome to collect donations through use of a donation collection canister located where adoptions are being performed. 3. Interfere in any way with the conduct of the business of PetSmart, Charities or any customer, tenant or occupant of the PetSmart store or shopping center at any time. 4. Allow any person or other organization to use its Adoption Group Number as assigned by Charities, its tax identification number, or participate in the Adoption Program using its name or identity. 5. Make, directly or indirectly, any negative statements, whether written or oral (including in any digital electronic format) or disparage any of the following: Charities, PetSmart, Banfield Pet Hospital, or any customer, tenant or occupant of the PetSmart store or shopping center; PetSmart or Charities product, service, employee, representative, volunteer or agent; or the activities or reputations of any other organization participating in the Adoption Program. P. Everyday Adoption Centers. 1. All Pets, prior to being transported to the Everyday Adoption Center, must be given an examination and preliminary health assessment by a licensed veterinarian to ensure each is healthy, spayed or neutered, and adoptable; and all Pets must be deemed behaviorally safe for adoption and public interaction by an individual trained or certified in an industry accepted behavior assessment protocol, or another protocol if specifically approved by Charities in writing and in advance, and in Charities’ sole discretion 2. Participant will provide at least one (1) vehicle to be used to transport Pets between Participant’s facilities and the Everyday Adoption Center. Participant will be responsible for all costs relating to transportation of the Pets, including any automobile insurance as described in this Agreement. Pets shall be transported between Participant’s facility and the Everyday Adoption Center with a frequency and on a schedule as is required to ensure that at all times, the Everyday Adoption Center is populated with Pets for adoption at a level specified in the Adoption Policies or as otherwise specified by Charities, provided however, that Participant shall comply with all applicable laws and Adoption Policies related to containing Pets in the Everyday Adoption Center. 3. Participant is expected to complete a minimum number of adoptions from the Everyday Adoption Center as may be determined by Charities from time to time. 4. Participant will ensure that the Everyday Adoption Center is appropriately staffed during hours determined by PetSmart and Charities, and will ensure that its employees and volunteers are available to assist the public during PetSmart store hours or the core hours agreed upon by the Parties. In the event that the PetSmart store is closed to the public for any reason, Participant shall staff the Everyday Adoption Center for enough time to ensure appropriate care for all Pets in the Everyday Adoption Center. Participant will be solely responsible for hiring employees and volunteers to staff the Everyday Adoption Center. In no event shall Participant have fewer than two (2) employees or one (1) employee and one (1) volunteer (i.e., at least two (2) people at all times) staffing the Everyday Adoption Center during PetSmart store hours or as otherwise agreed upon by the Parties. The Parties and PetSmart must mutually agree in writing at least 4 PetSmart Charities – CONFIDENTIAL EAC Agreement v20210222 twenty-four (24) hours in advance of any changes to the schedule. Section 2 - Term of Agreement and Termination by Parties A. Term. The initial term of the Agreement shall be two (2) years. Thereafter, this Agreement shall automatically renew for subsequent one (1) year terms until terminated by either Party. B. Termination by Participant. Participant may terminate this Agreement at the end of the initial or any renewal term, following at least sixty (60) days advanced written notice to Charities prior to the conclusion of the then current term. C. Termination by Charities. Charities may terminate this Agreement: 1. Thirty (30) days. At any time, with or without cause, by providing thirty (30) days written notice to Participant. 2. Immediately. By providing written notice of immediate termination if at any time Charities, in its sole and absolute discretion, believes: • Participant has not complied with the terms and conditions of this Agreement or has taken any action or inaction that does not uphold the spirit of this Agreement; • Participant is involved in any investigation or engaged in any action that appears to be unprofessional, uncharitable or inappropriate; • Participant ceases or changes its principle business, becomes or is adjudicated insolvent or bankrupt, or if a receiver or a trustee is appointed for Participant or its property, or if Participant petitions for reorganization or arrangement under any bankruptcy or insolvency law, or if any assignment is made for the benefit of Participant’s creditors; • There is any change to the representations made by Participant in this Agreement; • The results of any audit or information contained in any reports are deemed to be unacceptable by Charities; • Participant has not complied with the requirements of any other agreement with Charities; or • The Adoption Center is or becomes subject to administrative, regulatory, and/or contractual requirements that delays or prevents Charities from obtaining or maintaining the location, becomes subject to restrictions that Charities determines to be undesirable, or otherwise becomes unavailable to Charities. 3. Additional Rights. In addition, Charities may, in its sole and absolute discretion: • Withhold any pending or future payments of funds or provision of support; and • Revoke any payment of funds not used in accordance with this Agreement and require Participant to provide a full refund to Charities of all previously provided unspent funds. D. Effect of Termination. Upon termination of this Agreement for any reason, all rights and obligations of the Parties shall cease, except all representations, warranties and obligations of Participant in this Agreement shall survive after the termination date of this Agreement. Section 3 – General Provisions A. Participant’s Representations. Participant represents to Charities, as of the date of this Agreement and at all times during the term, that: 1. Participant is either: (i) an organization exempt from federal income tax under Section 501(c)(3) of the Code; (ii) a governmental entity under Section 170(c)(1) of the Code that will use any Rewards for exclusively public purposes; or (iii) an “Indian tribal government,” under Section 7701(a)(40) of the Code, that is treated as a State that will use any Rewards exclusively for public purposes. 2. Participant holds and will maintain any and all licenses, permits and registrations necessary or appropriate to operate and fulfill Participant’s mission. 3. Participant is in compliance (and will comply) with all applicable federal, state, local and tribal laws, regulations and other requirements. 4. Participant is not on any federal terrorism “watch list” and any Rewards will be used in compliance with all applicable anti-terrorist financing and asset control laws, statutes and executive orders. 5 PetSmart Charities – CONFIDENTIAL EAC Agreement v20210222 5. Participant agrees that all representations or statements made by Participant in any application or any related communications from or on behalf of Participant are true and accurate in all material respects. Participant will notify Charities promptly in writing of any changes in such representations or statement B. Audit. Participant agrees to maintain adequate books, records and other documents showing compliance with this Agreement. Upon reasonable notice and during normal business hours, at any time during the term of this Agreement and for two (2) years thereafter, Charities or its designee may audit or review the books, records, and/or operations of Participant to ascertain Participant’s compliance with the terms and conditions of this Agreement. Participant acknowledges and agrees that any such audit may include, without limitation, (i) an on- site or in person inspection, (ii) observation of Participant’s facilities and operations, and (iii) personnel interviews, including without limitation, employees and volunteers. Participant will permit the audit no later than ten (10) business days after the date of Charities’ notice, provided however, that in the event Charities has a bonafide reason to believe, in its sole discretion, that there may be issues related to the welfare of any of people or animals associated with Participant, Participant shall permit such audit with no notice. Participant expressly grants permission to Charities or its designees to make inquiries and discuss with, or request documentation from, third parties about Participant related to Participant’s performance under this Agreement. If deemed necessary, Charities may suspend Participant’s participation in the Adoption Program and/or withhold any Rewards for such period as it may be reasonable to conduct, and review the results of, any such audit. Participant agrees to cooperate with Charities in supplying additional information required for Charities to comply with governmental requests. In addition, Participant agrees to retain and make available all records for Pet licensing and registration, adoptions and adopter information, adoption policies and procedures, as well as any other records required by law related to any Pet or operation of the Adoption Center. C. Assignment. This Agreement shall be binding upon and inure to the benefit of the Parties and their respective successors and permitted assigns. Participant will not assign or sublicense, in whole or in part, any of its rights or obligations under this Agreement without the prior written consent of Charities. D. Independent Entities. Nothing in this Agreement is intended or will be construed to create any type of partnership, joint venture, employment, franchise or other similar relationship between the Parties. The Parties agree that Participant is an independent entity solely responsible for itself, its employees, volunteers, agents, and its Pets. Each Party shall be solely responsible for the acts and omissions of its respective officers, agents, servants, employees, representatives and subcontractors during and after the term of this Agreement. The doctrine of respondeat superior shall not apply as between Charities and PetSmart or Participant and its respective agents, employees, representatives or subcontractors. E. Indemnification. Participant shall defend, indemnify and hold harmless Charities and PetSmart, including their respective affiliates, directors, officers, managers, employees, representatives, agents, assigns and successors, from and against all costs, claims, losses, liabilities, property damage, bodily injury or death, or intellectual property infringement (including reasonable attorneys’ fees and expenses), incident to or arising out of Participant’s: breach of this Agreement; willful misconduct or negligent act(s) or omission(s); receipt or use of the Rewards; participation in the Adoption Program, including injury or damage caused by or involving Participant’s Pets; possession, storage, use, consumption and disposal of any Product; employment and/or worker compensation claims; or violation of applicable law. Notwithstanding the foregoing, this provision shall not be applicable if Participant is a governmental entity and as such, is prohibited by law from indemnifying Charities. F. Equal Opportunity. Participant agrees that it will not discriminate by reason of race, color, creed, religion, national original, age, sexual orientation, disability, veteran status, gender, gender identity, marital status or any other legally protected status. G. Charities Publicity. Participant agrees that it will acknowledge Charities’ support in any promotional materials, including websites and social media platforms. Participant must obtain prior written approval by Charities and 6 PetSmart Charities – CONFIDENTIAL EAC Agreement v20210222 will provide Charities at least ten (10) business days to review, for quality control purposes, the proposed use. If Charities permits Participant use of its logo, such use is a limited, non-exclusive, revocable right to use. Participant may not use Charities’ logo for any purpose other than the use permitted by Charities, and Charities may immediately terminate use if it is determined by Charities to be unacceptable. Participant will not use either Charities’ name or logo in a negative light or critical manner. Any right given to Participant for the use of Charities name or logo may not be transferred, assigned or sublicensed. H. Participant Publicity. Charities has the limited, non-exclusive, revocable right to publish, print, transmit, display or otherwise use Participant’s name and logo. Such use may be in electronic or digital format (including e-mail, social media platforms or websites) or in printed form. Charities will not use Participant’s name or logo in a negative light or critical manner. Charities’ use of Participant’s name or logo will limited to only the use to support or further Charities’ mission. I. Confidentiality. 1. “Confidential Information” is information that, by its nature, should be treated as proprietary and confidential or that a reasonable person should conclude is confidential, which is disclosed by one Party to the other Party orally, electronically or in a tangible form, that is related to this Agreement or the Parties’ relationship, including without limitation employee and volunteer information, general non-public business information, third-party confidential information, and other information designated by the supplying Party as confidential information expressly or by the circumstances in which it is provided. Confidential Information of a Party shall not include any information that is or becomes publicly available or rightfully known to the receiving Party through no act, omission, or breach of this Agreement; that the receiving Party can show is independently developed by the receiving Party without the use of or any reference to Confidential Information; or is included in Participant’s application, attachments, reports, and related correspondence. 2. The Parties agree that, unless otherwise set forth in this Agreement, required by law, or pursuant to the written consent of the other, the Parties shall not make each other’s Confidential Information available in any form to any third party for any purpose, except to its own directors, managers, officers, employees, representatives, legal and financial advisors, accountants and other agents (collectively “Representatives”) having a “need to know” such Confidential Information and who have agreed to be bound by confidentiality obligations no less restrictive than those under this Agreement. Each receiving Party agrees to be responsible for any breach of this Agreement by itself and any of its Representatives, and, further, the receiving Party agrees, at its sole expense, to take all reasonable measures (including, but not limited to, court proceedings) to prevent prohibited or unauthorized disclosure or use of the Confidential Information. At the termination of this Agreement, or upon request, the receiving Party agrees to return or destroy, at the disclosing Party’s election, any and all Confidential Information. J. Insurance. Participant will maintain, at its sole cost and expense, during the term of this Agreement and for at least five (5) years thereafter, the following insurance coverage: (a) a commercial general liability insurance policy with limits for bodily injury, property damage and products liability/completed operations coverage of not less than $1,000,000 per occurrence, with an aggregate limit of not less than $2,000,000, such policies to include contractual liability and contain no exclusion related to Participant’s compliance status with mandatory or voluntary safety standards of the United States of America; (b) an automobile liability insurance policy with limits not less than $1,000,000 combined single limit; (c) workers’ compensation insurance, including coverage for occupational disease, in the benefit amounts required by law, and employer’s liability insurance, with a limit of liability not less than $1,000,000 per accident; and (d) professional liability - errors and omissions insurance with limits not less than $2,000,000 per occurrence and an aggregate limit of not less than $5,000,000. Participant will provide additional liability limits of at least $2,000,000 per occurrence, either through an umbrella or excess policy, such policy to be excess to the underlying commercial general liability and auto insurance policies. All insurance will be maintained with insurance companies authorized by law to conduct business in the United States of America with the financial rating of at least A-VII status, as rated in the most recent edition of Best’s Insurance Reports. The insurance policies will include Charities and PetSmart as additional insureds, be provided on a primary and noncontributory basis and include a waiver of subrogation in 7 PetSmart Charities – CONFIDENTIAL EAC Agreement v20210222 favor of Charities and PetSmart. Participant will provide to Charities a certificate of insurance or similar binder for each policy evidencing compliance with this Agreement upon execution of this Agreement, on each anniversary thereafter and upon ten (10) business days of written request from Charities. Participant will send such certificates or binders to certificates@petsmart.com. Should any of the above policies be canceled before the expiration date thereof, notice will be delivered in accordance with the applicable policy provisions. The insurance coverage provided for in this Agreement will not act to limit Participant’s liability under this Agreement. Charities reserves the right to adjust coverage limits depending on Participant’s risks. K. Notices. Notices shall be deemed served when received by addressee or, if delivery fails due to some fault or action of the addressee, when tendered for delivery. Either Party may change the notice address or recipient at any time by providing written notice to the other Party. All notices required or permitted to be given hereunder shall be in writing, reference this Agreement, and be delivered by hand, prepaid courier, or registered or certified mail, postage prepaid, and addressed to the Party’s address set forth in this Agreement, and in the case of Charities, to the attention of the Legal Department. L. Governing Law; Venue; Waiver of Jury Trial; Legal Fees. Participant agrees to take all reasonable measures to resolve any disputes that may arise under this Agreement. Participant also agrees and understands that this Agreement may be enforced by legal action, including but not limited to injunctive or other equitable relief. This Agreement shall be governed by and construed in accordance with the laws of the State of Arizona in the United States without regard to conflict of law provisions or international treaties or conventions. With respect to any action or proceeding arising out of or related to this Agreement or otherwise between the Parties, the Parties hereby agree that: (i) venue and jurisdiction will be exclusively in the federal and state courts situated in Maricopa County in the State of Arizona, U.S., and (ii) they hereby waive jury trial. If either Party brings an action to enforce its rights under this Agreement, the prevailing Party may recover its expenses (including reasonable attorneys’ fees) incurred in connection with the action and any appeal from the losing Party. M. Waiver; Severability. The failure of either Party to insist upon the performance of any term or provision of this Agreement or to exercise any right herein conferred shall not be construed as a waiver or relinquishment to any extent of such Party’s right to assert or rely upon any such term or right on any future occasion. If any provision of this Agreement is held to be invalid, illegal or unenforceable, the validity, legality and enforceability of the remaining provisions shall not in any way be affected or impaired. If one or more provisions of this Agreement are held to be unenforceable under applicable laws by a court of competent jurisdiction, those provisions must be limited or eliminated to the minimum extent necessary and only in the applicable jurisdiction such that the balance of this Agreement remains enforceable and in full force and effect. N. Miscellaneous. This Agreement constitutes the entire agreement and understanding between the Parties and supersedes all other prior and contemporaneous communications, discussions, understandings, negotiations, arrangements and agreements, whether written or oral, relating to the subject matter of this Agreement. This Agreement shall not be construed for or against any Party based on which Party drafted this Agreement, and each Party had the opportunity to review this Agreement with their respective legal counsel to the Party’s satisfaction. PetSmart shall be a third party beneficiary under this Agreement. Charities and Participant each represent that the individuals signing are duly authorized to execute this Agreement. This Agreement may be executed in one or more counterparts, each of which shall be deemed an enforceable original, but all of which together shall constitute one and the same instrument. Facsimile and other electronic signatures shall be as effective and binding as original signatures. [SIGNATURE PAGE FOLLOWS] IN WITNESS WHEREOF, and in consideration of the mutual promises and covenants herein contained, the Parties have caused this Agreement to be signed by their respective and duly authorized representatives as of the Effective Date. 8 PetSmart Charities – CONFIDENTIAL EAC Agreement v20210222 “CHARITIES” PetSmart Charities, Inc. “PARTICIPANT” Maricopa County Animal Care & Control Signature: _____________________________ Signature: _____________________________ Name: ________________________________ Name: ________________________________ Title: _________________________________ Title: Chairman, Board of Supervisors_______ Date: _________________________________ Date: _________________________________ APPROVED AS TO FORM: ATTEST: Signature: _____________________________ Signature: _____________________________ Name: ________________________________ Name: ________________________________ Title: Deputy County Attorney_____________ Title: Clerk of the Board__________________ Date: _________________________________ Date: _________________________________