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WORKER'S COMPENSATION INSURANCE CERTIFICATION <br /> Description of Contract City of Redlands <br /> Municipal Utilities & Engineering Department <br /> 16117 CDBG ALLEY PAVING IMPROVEMENTS, <br /> Project No 43062 <br /> Labor Code, Section 3700, provides, in part that <br /> "Every employer except the State shall secure the payment of compensation in one or more of <br /> the following ways <br /> (a) By being insured against liability to pay compensation in one or more insurer duly <br /> authorized to write compensation insurance in this State <br /> (b) By securing from the Director of Industrial Relations a certificate of consent to self- <br /> insure, <br /> elfEnsure, either as an individual employer, or as one employer in a group of employers which may <br /> be given upon furnishing proof satisfactory to the Director of Industrial Relations of ability to <br /> self-insure and to pay any compensation that may become due to his or her employees <br /> I am aware of the provisions of Section 3700 of the Labor Code which requires every employer <br /> to be insured against liability for worker's compensation or to undertake self-insurance in <br /> accordance with the provisions of that Code, and I will comply with such provisions before <br /> commencing the performance of the work of this contract (Labor Code section 1861) <br /> Dated this %J-eS day of 2017 <br /> CI ao heia �av1r1G (0 <br /> X o ct ) J <br /> (Signa <br /> -PrP,6 i d,�,-v�/Ow o,-it <br /> (Official Title) <br /> (SEAL) <br /> (Labor Code Section 1861 provides that the above certificate must be signed and filed by the <br /> Contractor with the Owner prior to performing the work of the contract} <br /> CD 4 <br />