Attachment_8_-_Workers__Comp_Certification.pdf

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

About this file

This is a Workers' Compensation Certification form required for the California Arts Council (CAC) RFP-25-016 Strategic Planning Consultant contract opportunity. The certification document is submitted by bidders to acknowledge compliance with Section 3700 of the California Labor Code, which mandates that every employer maintain workers' compensation insurance or undertake self-insurance before commencing work on the contract. Bidders must complete the form with their signature, date, name, title, firm name, and complete address information, along with the corresponding RFP number.

The certification serves as a mandatory compliance requirement for all bidders responding to the strategic planning consultant solicitation. This form must be included with bid submissions to Procurement@arts.ca.gov and is essential documentation for contract award consideration. The requirement applies uniformly to all eligible bidder categories, including California independent contractors, individuals, sole proprietors, partnerships, certified small businesses, disabled veteran business enterprises, nonprofit organizations, and private for-profit organizations. Bidders must ensure they possess or obtain appropriate workers' compensation coverage prior to contract execution, as this certification verifies their awareness and compliance with California's mandatory insurance provisions.

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WORKERS’ COMPENSATIONCERTIFICATION

The undersigned in submitting this document hereby certifies the following:

I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liability for workers’ compensation or to undertake self-insurance in accordance with such provisions before commencing the performance of the work of this contract.

Signature Date

Name and Title (Print or Type)

Firm Name

Street Address City State ZIP

RFP No.: _______________

Attachment _______:

RFP No:
undefined: 9
Date:
Name and Title Print or Type:
Firm Name:
Street Address:
City:
State:
ZIP:

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