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 Attachment B of Request for Proposal #26-4843, a workers' compensation certificate form required by the Modesto Sylvan Schools Infrastructure Financing Agency (MSSIFA) for independent audit services. The attachment contains the statutory language from California Labor Code Section 3700 requiring all employers to secure workers' compensation insurance or obtain self-insurance certification from the Director of Industrial Relations prior to commencing contract performance. Bidders must complete and submit this certificate with their proposals by the March 5, 2026 deadline at 12:00 p.m. PST via the Modesto City Schools e-Procurement Portal. The three-year contract covers audit services for fiscal years ending June 30, 2026, 2027, and 2028, with evaluation of technical qualifications weighted at 70 points and cost at 30 points.
The certificate form mandates contractor compliance with workers' compensation insurance requirements before any work begins, in accordance with Article 5, Chapter 1, Part 7, Division 2 of the California Labor Code. Contractors must either obtain authorization from an insurer duly authorized to write compensation insurance in California or secure a certificate of consent to self-insure from the Director of Industrial Relations. This form is a mandatory submission requirement and must be signed and filed with the awarding body prior to contract performance.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 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_B.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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