1-Contractor Certificate Regarding Workers Comp.pdf

12 KB Posted

Attached to
Emergency Supply Distribution Assessment Services
Solicitation number
25-06606
Issued by
San Bernardino County, California

About this file

Written by GovTribe AI ·

This document is a Contractor's Certificate Regarding Workers' Compensation form requiring bidders to acknowledge and comply with California Labor Code section 3700. The form mandates that every employer must either obtain workers' compensation insurance or establish self-insurance in accordance with state labor code provisions before beginning contract work.

The form provides blank spaces for a bidder to complete, including fields for the name of the bidder, signature, individual name, title, and date. Its primary purpose is to ensure that contractors are legally prepared to cover potential workplace injuries or compensation claims prior to commencing contract work, demonstrating compliance with California labor regulations.

View the file

Other files

File Type Posted
6-Certification of Non-Debarment 03-14-24.pdf PDF
5-Non-Collusion Declaration 03.14.2024.pdf PDF
7-Non-Negotiable Contract Terms 09-19-2024.pdf PDF
4-Principal Certification Page Binding Bidders Response 02-05-2024.pdf PDF
10-Data Sharing Assessment v2.docx DOCX document
2-IEHP Master PSA Template OCT 2023 BOARD draft (IEHP Legal 09-25-23).docx DOCX document
8-Vendor Security Documents Checklist Version 4.docx DOCX document
11-IEHP-iRFP-25-06606 Emergency Supply Distribution Assesment Services 8.25.25.pdf PDF
3-Local Preference Affidavit 05.09.2023.pdf PDF
9-IEHP Security Risk Assessment Template V1.xlsx XLSX spreadsheet

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Contractor’s Certificate Regarding Workers’ Compensation

I am aware of the provisions of section 3700 of the Labor Code which require every employer to be insured against liability for workers’ compensation or to undertake self-insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this Contract.

Name of Bidder

Signature

Name

Title

Dated

Contractor’s Certificate Regarding Workers’ Compensation
I am aware of the provisions of section 3700 of the Labor Code which require every employer to be insured against liability for workers’ compensation or to undertake self-insurance in accordance with the provisions of that code, and I will comply with...
Name of Bidder 1:
Name of Bidder 2:
Name of Bidder 3:
Name of Bidder 4:
Name of Bidder 5:

File details come from the government source that posted it. Updated .