1-Contractor Certificate Regarding Workers Comp.pdf

12 KB Posted

Attached to
Telephonic Interpreter Services and American Sign Language Video Remote Interpreter Services
Solicitation number
25-06410
Issued by
San Bernardino County, California

About this file

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This document is a Contractor's Certificate Regarding Workers' Compensation form that requires a bidder to acknowledge and comply with section 3700 of the Labor Code. The form mandates that every employer must be insured against workers' compensation liability or undertake self-insurance in accordance with the code's provisions before commencing work on a contract. The form provides blank spaces for the bidder to fill in their name, signature, title, and the date of signing.

The certificate serves as a legal attestation and commitment by the contractor to maintain appropriate workers' compensation insurance coverage, which is a standard requirement for businesses engaged in contract work. By signing this document, the bidder confirms their understanding of and intention to adhere to California state labor regulations regarding employee protection and insurance.

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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 .