2-Contractor Certificate Regarding Workers Comp.pdf

PDF 62 KB Posted

Attached to
iRFP Every Door Direct Mail (EDDM) Services
Solicitation number
25-06880
Issued by
San Bernardino County, California

About this file

This is a Contractor's Certificate Regarding Workers' Compensation required by the Inland Empire Health Plan (IEHP) for the Every Door Direct Mail (EDDM) Services contract opportunity in California. The certificate confirms that the contractor acknowledges the provisions of California Labor Code Section 3700, which mandates that every employer maintain workers' compensation insurance or undertake self-insurance in compliance with state law. The contractor must execute this certification and provide their name, signature, title, and date before commencing work on the contract, which involves up to 12 EDDM campaigns promoting Colorectal Cancer screening events across San Bernardino and Riverside counties targeting underserved, diverse populations including Medi-Cal eligible members and Spanish-speaking communities.

This document serves as a compliance verification tool requiring the bidder's attestation of workers' compensation insurance status prior to contract performance. No specific pricing terms, set-asides, award dates, contract terms, or renewal options are outlined in this certificate. The document is a prerequisite contractual requirement rather than a substantive specification or pricing document, functioning solely to ensure the selected contractor meets California's mandatory workers' compensation insurance requirements before beginning work on the EDDM campaign initiative.

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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

File details come from the government source that posted it. Updated .