Attachment_7_-_Individual___Sole_Proprietor.pdf

This is an Individual or Sole Proprietor Workers' Compensation Insurance Exemption Statement form associated with the California Arts Council's Request for Proposal for an Event Producer to manage the organization's 50th Anniversary Awards Ceremony. The form serves as a certification document for independent contractors and sole proprietors to declare their exemption from California Workers' Compensation Insurance requirements. The statement requires the applicant to certify under penalty of perjury that they do not employ any persons in a manner that would subject them to California's Workers' Compensation Laws and to notify the Department of Rehabilitation within 90 days should their business status change to become subject to these laws.

The form is completed with the signature of Carla Pareja and is intended to be submitted as part of the proposal package to Procurement@arts.ca.gov. The overall RFP seeks an event producer with a budget of up to $90,000 to execute the 50th Anniversary Awards Ceremony, which will recognize the impact and legacy of the Council's founding members, California artists, arts leaders, and organizations that have contributed to the state's cultural and civic life. Eligible respondents include California independent contractors, individuals, sole proprietors, partnerships, certified small businesses, disabled veteran business enterprises, 501(c)(3) organizations, private for-profit organizations, and organizations with joint powers agreements based in California.