1-Contractor Certificate Regarding Workers Comp.pdf
PDF 12 KB Posted
- Attached to
- Janitorial Services Staffing Augmentation
- Solicitation number
- 26-07128
- Issued by
- San Bernardino County, California
About this file
This is a Contractor's Certificate Regarding Workers' Compensation form for the Janitorial Services Staffing Augmentation 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 form provides signature lines for up to five bidders, each required to provide their name, title, date, and authorized signature.
The document serves as a mandatory compliance certification that bidders must complete and submit as part of their proposal for this janitorial staffing augmentation solicitation. This certificate ensures that contractors meet California's statutory workers' compensation insurance requirements prior to contract award and performance.
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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 .