Exhibit_4-_Employee_Acknowledgement_of_Employer_Form.pdf

PDF 77 KB Posted

Attached to
Vocational Services
Solicitation number
057-2788101-RB
Issued by
Orange County, San Francisco City, California

About this file

Exhibit 4 is an Employee Acknowledgment of Employer form associated with a Vocational Services contract opportunity for the County of Orange, California. The document is a standard form that requires an employee to acknowledge they are employed by a specific entity and not by the County of Orange, and that their actual employer is responsible for providing legally required employee benefits and compensation.

The form explicitly states that the County of Orange will not assume liability for the employee's salaries, wages, benefits, or other compensation. It provides spaces for an employee to print their name and provide a signature, confirming their understanding of their employment status and benefit responsibilities. This document appears to be a standard protective measure used in the County of Orange's contracting process to clearly delineate employment responsibilities between the County and the service provider's employees.

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Text version

Exhibit 4

EMPLOYEE ACKNOWLEDGMENT OF EMPLOYER

I acknowledge that I am an employee of and not of the County of Orange.

I understand that my employer, and not the County of Orange will be solely responsible for providing on my behalf, all legally required employee benefits.

I understand that the County shall not assume any liability for the payment of salaries, wages, benefits, or other compensation to, or on my behalf.

(Employee Name – Please Print) (Signature of Employee)

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