10 Workers Compensation Certificate.pdf
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- Solicitation number
- 147913
- Issued by
- Riverside County, California
About this file
This is a Contractor's Certificate regarding Workers' Compensation for the City of Corona Utilities Department Plumbing Services RFP No. 27-010SB. The certificate form 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 sign and date the certificate, confirming their compliance with these requirements before commencing work on the contract. The form requires completion of bidder name, signature, name, title, and date fields.
Prospective consultants must submit this completed certificate along with all other required RFP documents electronically through the PlanetBids system. The solicitation requires all documents to be uploaded individually prior to the proposal submission deadline, with no exceptions for late submissions. Failure to submit the electronic proposal through PlanetBids will result in a non-responsive finding and disqualification from consideration for award.
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Text version
12/2025
RFP No. 27-010SB
UTILITIES DEPARTMENT PLUMBING SERVICES
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
Date: ________________________________
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