Attachment_7-_Individual___Sole_Proprietor.pdf

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Attached to
RFP-25-016 STRATEGIC PLANNING CONSULTANT
Solicitation number
0000039506
Issued by
California

About this file

This is an Individual or Sole Proprietor Workers' Compensation Insurance Exemption Statement form related to RFP-25-016 Strategic Planning Consultant issued by the California Arts Council (CAC). The form certifies that the individual or sole proprietor does not employ any persons and is therefore exempt from California's Workers' Compensation Laws. The certifying party must sign and date the document, acknowledging under penalty of perjury that they will notify the Department of Rehabilitation within ninety days if the business status changes and becomes subject to California's Workers' Compensation Laws. This form is required as part of the bidding documentation for CAC's strategic planning consultant contract.

The RFP-25-016 contract opportunity is valued at up to $49,999, with potential to amend the agreement for an additional $40,001, bringing the maximum total to approximately $90,000. The California Arts Council seeks to award a contract to a single vendor to develop a current strategic plan, as the agency's existing strategic framework expires in 2027 and state law (Government Code 11816) requires current strategic planning. Eligible bidders include California independent contractors, individuals, sole proprietors, partnerships, California Certified Small Businesses, Disabled Veteran Business Enterprises, 501(c)(3) organizations registered in California, private for-profit organizations, and joint powers agreements based in California. Bids must be submitted to Procurement@arts.ca.gov by the deadline specified in the RFP, and interested parties are advised to monitor the Cal eProcure posting for any addenda or changes to the solicitation.

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ATTACHMENT ____: Individual or Sole Proprietorship Exempt from Workers’ Compensation Insurance Statement

______ of ______

I certify under penalty of perjury under the laws of the State of California that I do not employ any person in any manner as to become subject to the Workers’ Compensation Laws of California.

I further certify that the Department of Rehabilitation will be notified within ninety (90) days of any changes which results in the business becoming subject to the Workers’ Compensation laws of the State of California.

RFP No.: _____________________

Print Name Date

Signature

Carla Pareja Cross-Out

Compensation Insurance Statement: 8
RFP No:
Print Name:
Date:
of:
undefined:

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