1-Contractor Certificate Regarding Workers Comp.pdf

This is a Contractor's Certificate regarding Workers' Compensation compliance for a Clinical Review Services contract opportunity with the Inland Empire Health Plan (IEHP) in California. The certificate document requires bidders to acknowledge their awareness of California Labor Code section 3700, which mandates that all employers maintain workers' compensation insurance or establish a self-insurance program. Bidders must certify their compliance with these provisions before commencing work under the contract. The document provides signature lines for up to five bidders to acknowledge this requirement, with designated spaces for the bidder's name, signature, title, and date of execution.

The certificate serves as a mandatory compliance verification document within the procurement process for Clinical Review Services, which aims to ensure IEHP meets regulatory turnaround times for physician-level review of prior authorizations, grievances, and potential quality incidents. This certification requirement reflects California's mandatory workers' compensation insurance obligations and is a standard prerequisite for contract award, demonstrating the contractor's commitment to legal compliance and employee protection standards prior to contract performance.