Certification_of_Compliance_Form.pdf

PDF 66 KB Posted

Attached to
Copy of Pool Chemicals and Storage Tank Maintenance
Solicitation number
12300125A
Issued by
Los Angeles County, San Francisco City, California

About this file

The document is a Certificate of Compliance form issued by the City of Santa Monica, addressing insurance and labor code requirements for a contract opportunity. The form certifies that the submitting firm has met all insurance requirements for subcontractors as specified in the proposal and acknowledges compliance with Section 3700 of the Labor Code regarding workers' compensation insurance. This certificate is specifically related to the Pool Chemicals and Storage Tank Maintenance contract for the Annenberg Community Beach House.

The form requires the contractor to verify that they will either be insured against liability for workers' compensation or undertake self-insurance in accordance with the Labor Code provisions before commencing work. While the form itself does not provide specific pricing or contract details, it is a mandatory compliance document that must be completed and submitted as part of the contract bidding or award process. The form is designed to ensure that contractors understand and commit to meeting legal requirements for worker protection and insurance coverage prior to beginning work on the project.

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Text version

CITY OF SANTA MONICA

CERTIFICATE OF COMPLIANCE

TO: CITY OF SANTA MONICA

RE:

This is to certify that all requirements for insurance of subcontractors as specified in Proposal have been met; AND

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.

Firm

By________________________

Title

Dated

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