ATTACHMENT 8- WORKERS_ COMPENSATION CERTIFICATION.pdf
PDF 42 KB Posted
- Attached to
- Cannabis Integration System (CSI) - DCC
- Solicitation number
- 0000039409
- Issued by
- California
About this file
This is a Workers' Compensation Certification form issued by the State of California Department of Cannabis Control for RFP 2026-001. The document serves as a mandatory attachment that bidders must complete and submit with their proposals. The certification requires the bidder's authorized representative or corporate officer to acknowledge awareness of California Labor Code Section 3700, which mandates that every employer obtain workers' compensation insurance or establish self-insurance before commencing work on the contract. The form includes fields for the bidder or firm name, printed name of the authorized representative, title or role, signature, and date of certification.
No pricing terms, set asides, funding sources, or other salient financial information is contained in this certification document. This form functions solely as a compliance verification mechanism to ensure bidders meet California's statutory workers' compensation requirements prior to contract performance.
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Text version
ATTACHMENT 8: WORKERS' COMPENSATION CERTIFICATION
The Bidder must complete and submit this form with its proposal.
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 require 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.
The Bidder's Authorized Representative or Corporate Officer Bidder/Firm Name:
Printed Name of Authorized Representative:
Title/Role:
Signature:
Date:
State of California Department of Cannabis Control
RFP 2026-001
Bidder Response
June 19, 2026
ATTACHMENT 8: WORKERS' COMPENSATION CERTIFICATION
File details come from the government source that posted it. Updated .