For Contractor definition

For Contractor. For Subcontractor: By: ____________________ By: ____________________ Title: ____________________ Title: ____________________ Dated: ____________________ Dated: ____________________ __________________("Subcontractor") agrees to perform and complete the following services ("Services") for ______________("Contractor") at__________________ ("Facility): (INSERT REQUEST FOR SERVICES HERE)

For Contractor. If this box is checked by Contractor, Contractor consents to the use of electronic signatures in relation to this Agreement.

For Contractor. FOR PARTICIPANT: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇ BY BY ▇▇▇▇ ▇. ▇▇▇▇▇ TITLE TITLE Director DATE DATE March 21, 1996 DOE APPROVAL: BY

For Contractor. Name: Address: Attn: Phone: E-mail: Illumina, Inc. ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇ ▇▇▇ ▇▇▇▇▇ ▇▇ ▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇▇▇▇@▇▇▇▇▇▇▇▇.▇▇▇ For County: Name: Address: Attn: County of Orange Health Care Agency/Procurement and Contract Services ▇▇▇ ▇. ▇▇▇▇▇ ▇▇▇ ▇▇▇▇., Suite #650 Santa Ana, CA 92701 ▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇ Title: Deputy Purchasing Agent Phone: (▇▇▇) ▇▇▇-▇▇▇▇ Fax: Email: (▇▇▇) ▇▇▇-▇▇▇▇ ▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ CC: Name: Address: Attn: County of Orange HCA/Public Health Services ▇▇▇▇ ▇ ▇▇▇▇ ▇▇. ▇▇▇▇▇ ▇▇▇ ▇▇ ▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇ Title: Staff Specialist Phone: E-mail: (▇▇▇) ▇▇▇-▇▇▇▇ ▇▇▇▇▇@▇▇▇▇▇.▇▇▇

For Contractor. Name: Attention: AG Coast Corporation dba California Panther Security ▇▇▇▇▇▇▇ ▇▇▇▇▇ Address: ▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇▇▇. Ste. ▇▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇, ▇▇ 90045 Telephone: (▇▇▇) ▇▇▇-▇▇▇▇ E-mail: ▇▇@▇▇▇▇▇▇▇▇▇.▇▇▇ For County: Name: County of Orange, HCA/Procurement and Contract Services Attention: Address: ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇▇▇ ▇ ▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇., ▇▇▇ ▇▇. Santa Ana, CA 92701 Telephone: (▇▇▇) ▇▇▇-▇▇▇▇ E-mail: ▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇”

For Contractor. Name: Address: City: Attn: Phone: Email: PALP, Inc. dba Excel Paving Company ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇, ▇▇ ▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇▇▇.▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ For COUNTY: Name: Address: City: Attn: Phone: E-mail OC Public Works/OC Construction ▇▇▇▇ ▇. ▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇ #▇ ▇▇▇▇▇ ▇▇▇, ▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇, P.E., JOC Manager (▇▇▇) ▇▇▇-▇▇▇▇ ▇▇▇▇▇▇.▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇

For Contractor. Name: Attention: Address: Telephone: E-mail: ▇▇▇▇▇▇ Laboratories, Inc. ▇▇▇▇▇ ▇. ▇▇▇▇, Key Acct. Rep. ▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇ Rd. ▇▇▇▇▇▇ Park, IL Rd. (▇▇▇) ▇▇▇-▇▇▇▇ (Cell) ▇▇▇▇▇.▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇.▇▇▇ For County: Name: Attention: Address: Telephone: E-mail: County of Orange HCA/Purchasing ▇▇▇▇ Martinez200 ▇. ▇▇▇▇▇ ▇▇▇ ▇▇▇▇ Ste. 650 Santa Ana, CA 92701(714) ▇▇▇-▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ CC: Name: Attention: County of OrangeHealth Care Agency/Purchasing ▇▇▇▇▇▇ ▇▇▇▇ Address: Telephone: ▇▇▇▇ ▇. ▇▇▇▇ ▇▇.▇▇▇▇▇ ▇▇▇, ▇▇ ▇▇▇▇▇ (714) 834-8245 E-mail: ▇▇▇▇▇@▇▇▇▇▇.▇▇▇

For Contractor. For FOUNDATION: Name: ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ Name: ▇▇▇▇. ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇ Address: 602 The ▇▇▇▇▇▇▇▇ Address: Institute for Biomedical Engineering Chelsea Harbour ETH and University of Zurich ▇▇▇▇▇▇ ▇▇▇▇ OXF ▇▇▇▇▇▇▇▇▇▇▇▇▇▇ ▇▇ ▇.▇. ▇▇-▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇ Telephone: +▇▇ ▇▇▇ ▇▇▇ ▇▇▇▇ Telephone: +▇▇ ▇ ▇▇▇ ▇▇▇▇ Fax: +▇▇ ▇▇▇ ▇▇▇ ▇▇▇▇ Fax: +▇▇ ▇ ▇▇▇ ▇▇▇▇ Email: ▇▇▇▇▇▇.▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇.▇▇▇ Email: ▇▇▇▇▇▇▇@▇▇▇▇▇▇.▇▇▇.▇▇▇▇.▇▇

For Contractor. Name: Attention: Address: Telephone: ImageTrend, Inc. Contracts Department ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇. ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇-▇▇▇▇ (▇▇▇) ▇▇▇-▇▇▇▇ Cell: E-mail: (▇▇▇) ▇▇▇-▇▇▇▇ ▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇.▇▇▇ For County: Name: Attention: County of Orange, Health Care Agency Purchasing & Contract Services ▇▇▇▇▇▇ ▇▇▇▇ Address: Telephone: ▇▇▇ ▇. ▇▇▇▇▇ ▇▇▇ ▇▇▇▇ Ste. 650 Santa Ana, CA 92701 (714)834-5021 E-mail: ▇▇▇▇▇@▇▇▇▇▇.▇▇▇ CC: Name: Attention: County of Orange HCA/Health Disaster Management Emergency Medical Services ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ Address: Telephone: Project Manager ▇▇▇ ▇. ▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇ ▇▇▇, ▇▇ ▇▇▇▇▇ (714)834-2964 Facsimile: E-mail: (▇▇▇)▇▇▇-▇▇▇▇ ▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇