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• <br /> 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 3700 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 contract, <br /> Signed: _��� py�, TT /��/�. e , , ` r/� D� ,�` <br /> Title: L:Y I/U kee d . l%I�141.-Sey0 �n//'a& 1 teS <br /> Firm: ;r17 iE Z-.f!ow 77 JPg-A-Lr <br /> Date: CemRPt 3 2ofl <br />