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<br /> <br /> <br />Service Provider Signature Page to Professional Services Agreement <br />(Form Approved by City Attorney’s Office January 7, 2010, updated December 2, 2022) <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />SERVICE PROVIDER: Please fill in the spaces and sign in the box appropriate for <br />your business entity. <br />Corporation <br />Limited <br />Liability <br />Company <br />Partnership <br /> <br />______________________________________ <br />[Service Provider’s Complete Legal Name] <br /> <br /> <br /> <br />By: __________________________________ <br /> Signature <br /> <br /> <br />Typed/Printed Name of Signer: ____________________ <br /> <br />Title of Signer: __________________________________ <br /> <br />Date: ____________________ <br /> <br /> <br />Sole <br />Proprietorship <br /> <br /> <br />______________________________________ <br />[Typed/Printed Name] <br /> <br /> <br /> <br /> <br />______________________________________ <br />Signature <br /> <br />Date: ____________________ <br />Landau Associates, Inc. <br />Scott Woerman <br />VP, Client Strategy & Risk Management <br />January 6, 2023