Personal Care Services' Tenant and Lessee Affirmation of Social Distancing Protocol Form (PDF​)

I, [name of lessee] , affirm that I have thoroughly reviewed the Social Distancing Protocol applicable to [name of business] , the Mandatory Directive for Personal Care Services Businesses, and the Order of the Health Officer of the County of Santa Clara issued July 2, 2020; that I understand each of those documents; and that I agree to comply with all requirements those documents describe as applicable to employees, contractors, or other personnel.

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