1-Contractor Certificate Regarding Workers Comp.pdf

PDF 12 KB Posted

Attached to
Consent and Preference Management Software
Solicitation number
25-06921
Issued by
San Bernardino County, California

About this file

This is a Contractor's Certificate Regarding Workers' Compensation, a compliance document required for the Consent and Preference Management Software contract opportunity in California. The certificate confirms that bidders are aware of and will comply with section 3700 of the Labor Code, which mandates that every employer maintain workers' compensation insurance or undertake self-insurance before commencing work on the contract. The document requires signatures and identification from up to five named bidders, along with their titles and the date of certification.

The certificate serves as a prerequisite compliance verification for contract award. Bidders must complete and submit this document to demonstrate their understanding of California's workers' compensation requirements and their commitment to maintaining adequate coverage throughout contract performance. No pricing, timeline, or service delivery information is contained within this particular document, as it functions solely as a mandatory certification of regulatory compliance for prospective contractors.

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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 .