Contractor's_Certificate_Regarding_Workers'_Compensation.pdf
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- Solicitation number
- 26-037
- Issued by
- Alameda County, Hayward City, California
About this file
This is a Contractor's Certificate Regarding Workers' Compensation required by the City of Hayward, California for the Construction Management Consulting Services for Airport Improvement Program (AIP) Projects at Hayward Executive Airport (RFQual 26-037). The certificate must be completed, executed, and submitted with the bid form prior to contract award. Contractors must certify compliance with California Labor Code Section 3700, which mandates that every employer secure workers' compensation coverage either through insurance with a state-authorized insurer or through a certificate of consent to self-insure from the Director of Industrial Relations. The Statement of Qualifications/Bids must be submitted to the City's eProcurement Portal by 4:00 pm on Tuesday, April 7, 2026, with the total bid excluding sales tax clearly stated. All SOQs/bids are binding for ninety (90) days after opening and may not be withdrawn without City consent or recourse to Public Contract Code sections 5100 et. seq.
This certificate is a mandatory compliance document that must be signed and filed with the City of Hayward prior to performing any work under the contract. Contractors must demonstrate proof of either active workers' compensation insurance authorization or a valid self-insurance certificate from the State of California's Director of Industrial Relations. The certificate requires the contractor's signature, printed name, and date of execution. Failure to provide this completed certificate with the bid submission may result in bid rejection as non-responsive to the solicitation requirements.
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Text version
*THIS DOCUMENT MUST BE COMPLETED, EXECUTED AND SUBMITTED WITH THE BID FORM*
CONTRACTOR’S CERTIFICATE
REGARDING WORKER’S COMPENSATION
LABOR CODE SECTION 3700
“Every employer except the State and all political subdivisions or institutions thereof, shall secure the payment of compensation in one or more of the following ways:
(a) By being insured against liability to pay compensation in one or more insurers duly authorized to write compensation insurance in this State.
(b) By securing from the Director of Industrial Relations a certificate of consent to self-insure, which may be given upon furnishing proof satisfactory to the City of Industrial Relations of ability to self-insure and to pay any compensation that may become due to this employees.’
I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker’s 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 this contract.
SIGNATURE: ______________________________
Print Name: ______________________________
Date: ______________________________
(In accordance with Article 5 [commencing at Section 1860], Chapter I, Part 7, Division 2 of the Labor Code, the above certificate must signed and filed with the awarding body prior to performing any work under this contract.)
File details come from the government source that posted it. Updated .