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FULL PACKET_2019-07-02
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FULL PACKET_2019-07-02
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7/1/2019 6:03:06 PM
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7/1/2019 8:35:56 AM
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City Clerk
Doc Type
Agenda Packet
Agency
Clerk of the Council
Date
7/2/2019
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WORKERS' COMPENSATION INSURANCE CERTIFICATION <br />As required by California Labor Code Section 1860 and 1861, the Contractor certifies as follows: <br />I am aware of the provisions of Section J700 of the Labor Code, which requires every employer to be <br />insured against liability for worker's compensation or to undertake self-insurance in accordance with the <br />provisions of the Code, and I will comply with such provisions before commencing the performance of <br />the work of this c t tract. <br />Signed: <br />Title: Owner/CEO <br />Firm: Foddrill Construction Corporation <br />Date: 05/20/2019 <br />20A-22 <br />
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