1-Contractor Certificate Regarding Workers Comp.pdf
PDF 12 KB Posted
- Solicitation number
- 25-06890
- Issued by
- San Bernardino County, California
About this file
This is a Contractor's Certificate Regarding Workers' Compensation for the Application Control and Endpoint Security Software Solution contract opportunity in California. The certificate requires bidders to acknowledge their awareness of California Labor Code Section 3700, which mandates that every employer maintain workers' compensation insurance or undertake self-insurance in accordance with state provisions. Bidders must certify their compliance with these requirements before commencing performance of the contract work. The document provides spaces for up to five bidders to submit their names, signatures, titles, and dates on separate certificates.
The document serves as a compliance verification form rather than containing substantive project details, pricing information, or contractual terms. It functions as a prerequisite attestation that bidders must complete and submit as part of their proposal package to demonstrate their legal ability to perform work in California while maintaining appropriate workers' compensation coverage.
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Text version
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 .