RFP_26-4843_ATTACHMENT_B.pdf
PDF 95 KB Posted
- Attached to
- INDEPENDENT AUDIT SERVICES (MSSIFA) State and local contract opportunity
- Solicitation number
- 26-4843
- Issued by
- California
About this file
This is an Attachment B document containing a Contractor's Certificate regarding Workers' Compensation requirements for a California state and local contract opportunity related to Independent Audit Services (MSSIFA). The certificate serves as a compliance verification form that contractors must submit with their proposals prior to performing any work under the contract. The document references California Labor Code Section 3700, which mandates that every employer secure workers' compensation coverage through one of three methods: obtaining insurance from an authorized insurer, securing a certificate of consent to self-insure from the Director of Industrial Relations as an individual employer or group of employers, or in the case of public entities, obtaining a certificate of consent to self-insure against workers' compensation claims. The certificate must be properly completed, executed, and filed with the awarding body before commencing work on the contract.
Contractors submitting proposals for the three-year audit services engagement must acknowledge their awareness of and compliance with Labor Code Section 3700 requirements by signing and submitting this form. The certificate represents a mandatory administrative requirement that demonstrates the bidder's commitment to maintaining appropriate workers' compensation coverage throughout the contract performance period. No additional pricing, set-aside, incumbent, or funding information is provided in this attachment, as it functions solely as a compliance and verification document required as part of the proposal submission process.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| RFP_26-4843_ATTACHMENT_B.pdf | ||
| RFP_26-4843_ATTACHMENT_C.pdf | ||
| RFP_26-4843_ATTACHMENT_D_-_MSSIFA_Audit_06-30-2025.pdf | ||
| RFP_26-4843_ATTACHMENT_A.pdf | ||
| RFP_26-4843_ATTACHMENT_C.pdf | ||
| RFP_26-4843_ATTACHMENT_A.pdf | ||
| RFP_26-4843_ATTACHMENT_C.pdf | ||
| RFP_26-4843_ATTACHMENT_D_-_MSSIFA_Audit_06-30-2025.pdf | ||
| RFP_26-4843_ATTACHMENT_A.pdf | ||
| RFP_26-4843_ATTACHMENT_B.pdf | ||
| RFP_26-4843_ATTACHMENT_D_-_MSSIFA_Audit_06-30-2025.pdf | ||
| RFP_26-4843_AUDIT_SERVICES-MSSIFA.pdf | ||
| RFP_26-4843_AUDIT_SERVICES-MSSIFA.pdf | ||
| RFP_26-4843_AUDIT_SERVICES-MSSIFA.pdf |
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Text version
ATTACHMENT B
CONTRACTOR’S CERTIFICATE
REGARDING WORKERS’ COMPENSATION
Labor Code Section 3700:
“Every employer except the state 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, either as an individual employer, or as one employer in a group of employers, which may be given upon furnishing proof satisfactory to the Director of Industrial Relations of ability to self-insure and to pay any compensation that may become due to his or her employees.
(c) For any county, city, city and county, municipal corporation, public district, public agency, or any political subdivision of the state, including each member of a pooling arrangement under a joint exercise of powers agreement (but not the state itself), by securing from the Director of Industrial Relations a certificate of consent to self-insure against workers’ compensation claims, which certificate may be given upon furnishing proof satisfactory to the director of ability to administer workers’ compensation claims properly, and to pay workers’ compensation claims that may become due to its employees. On or before March 31, 1979, a political subdivision of the state which, on December 31, 1978, was uninsured for its liability to pay compensation, shall file a properly completed and executed application for a certificate of consent to self-insure against workers’ compensation claims. The certificate shall be issued and be subject to the provision of Section 3702.”
I am aware of the provisions of Section 3700 of the Labor Code which requires every employer to be insured against liability for workers’ compensation or to undertake self-insurance in accordance with the provision of that code, and I will comply with such provision before commencing the performance of the work of this contract.
(In accordance with Article 5 [commencing at Section 1860], Chapter 1, Part 7, Division 2 of the Labor Code, the above certificate must be signed and filed with the awarding body prior to performing any work under this contract.)
THIS FORM MUST BE SUBMITTED WITH PROPOSAL
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